Provider Demographics
NPI:1639215304
Name:FRANKLIN, BONITA HYLA (MD)
Entity Type:Individual
Prefix:DR
First Name:BONITA
Middle Name:HYLA
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:530 1ST AVE
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:212-263-7455
Mailing Address - Fax:212-263-7112
Practice Address - Street 1:530 1ST AVE
Practice Address - Street 2:SUITE 3A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-7455
Practice Address - Fax:212-263-7112
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2013-01-11
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Provider Licenses
StateLicense IDTaxonomies
NY133030208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00747888Medicaid