MARCO BONILLA MEDICINE DOCTOR NPI 1932636636

NPI Information

NPI: 1932636636
Provider Name: MARCO BONILLA, MEDICINE DOCTOR
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
8345 LEFFERTS BLVD APT 2C
KEW GARDENS, NY
ZIP 11415
Phone: (516) 413-8969
Get Directions

Marco Bonilla, MEDICINE DOCTOR is a nephrology internal medicine in Kew Gardens, NY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Marco Bonilla, MEDICINE DOCTOR NPI is 1932636636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8345 LEFFERTS BLVD APT 2C
KEW GARDENS, NY
ZIP 11415-516
Phone: (516) 413-8969

The enumeration date for this NPI number is 5/12/2017 and was last updated on 10/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	305527	NEW YORK	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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