National Provider Identifier
Katherine Susanne Bonito, PA-C
Katherine Susanne Bonito, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Buffalo, NY and a listed phone number of (716) 859-5600.
Profile Overview
- NPI
- 1316460413
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- July 20, 2017
- Last Updated
- December 27, 2022
Practice Location
- 100 High Street
- Buffalo, NY 14203
Phone: (716) 859-5600
Mailing Address
- 726 Exchange Street
- Suite 710
- Buffalo, NY 14210
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1316460413
- Entity Type
- Individual
- Last Name
- Bonito
- First Name
- Katherine
- Middle Name
- Susanne
- Name Prefix
- MS.
- Credential
- PA-C
- Provider Other Last Name
- Miller
- Provider Other First Name
- Katherine
- Provider Other Middle Name
- Susanne
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 726 Exchange Street
- Mailing Address Line 2
- Suite 710
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210
- Mailing Country
- US
- Mailing Phone
- (716) 852-4772
- Mailing Fax
- (716) 314-0421
- Practice Street Address
- 100 High Street
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203
- Practice Country
- US
- Practice Phone
- (716) 859-5600
- Enumeration Date
- July 20, 2017
- Last Updated
- December 27, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 27, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)