NPI
Candice Bonilla
NPI 1457828964
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2018-11-01
- Last updated
- 2026-09-29
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Specialties
Licenses
- License NY
- 635520
Location
- Practice location
- 7865 Lake Shore Rd
- City
- Angola NY
- Postal code
- 14006-9745
- Phone
- (716) 544-2770
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Registered Nurses in Angola, NY. 5 with this primary taxonomy in the public file.
Other NPIs in Angola, NY. 95 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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