Individual ProviderIsabel Ulerio-BonillaDentistDental ProvidersPractice Address577 Isham St, Suite 1-G, New York, NY 10034-2034(212) 942-9900PECOS EnrollmentBased on the most recent information from CMS, provider Isabel Ulerio-Bonilla does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1346338712Provider TypeIndividualFull NameUlerio-Bonilla, IsabelTitleDr.CredentialDDSGenderFemaleSole ProprietorNoEnumeration Date10/11/2006Last Updated9/18/2024Contact InformationPractice LocationPractice Address577 Isham St, Suite 1-G, New York, NY 10034-2034Phone(212) 942-9900Fax(212) 942-2388Mailing LocationMailing Address577 Isham St, Suite 1-G, New York, NY 10034-2034Phone(212) 942-9900Fax(212) 942-2388Provider TaxonomiesCodeDescriptionLicenseCode122300000XPrimaryDescriptionDentistDental ProvidersLicense045323New YorkCode122300000XDescriptionDentistDental ProvidersLicense22D102072400New JerseyProvider IdentifiersIDDescriptionIssuerID01510269DescriptionMedicaidIssuerUnlistedNew York