Individual provider · NPI-1

Angela Buonvino, D.O.

Hospitalist · Mineola, NY

NPI number1760447429
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1760447429
Entity type
Individual (NPI-1)
Name
Angela Buonvino
Credential
D.O.
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 18, 2006
Certification date
Aug 9, 2022
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist196781NYYes

Practice location

259 1st St
Winthrop 2 Room 291
Mineola, NY 11501-3957

Phone 515-663-8693 · Fax 516-663-8964

Mailing address

259 1st St
Winthrop 2 Room 291
Mineola, NY 11501-3957

Phone 515-663-8693 · Fax 516-663-8964

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