Individual provider · NPI-1

Amy Buonaccorsi, od

Optometrist · Warwick, RI

NPI number1265090468
StatusActive
Last updated in NPPESJun 3, 2019

Details

NPI
1265090468
Entity type
Individual (NPI-1)
Name
Amy Buonaccorsi
Credential
od
Sex
Female
Sole proprietor
No
Enumeration date
Jun 3, 2019
Last updated
Jun 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristODTG00678RIYes

Practice location

1050 Centerville Rd
Warwick, RI 02886-4209

Phone 401-828-3200

Mailing address

1050 Centerville Rd
Warwick, RI 02886-4209

Phone 401-828-3200

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