Buonagura, Tara
Buonagura, Tara is an individual health care provider with primary practice located at 430 County Road 101 , Yaphank NY 11980-9640. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Buonagura, Tara can be contacted via phone (631) 924-5583.Contact Information
Primary practice address
430 County Road 101
Yaphank NY 11980-9640
Phone: (631) 924-5583
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | New York | |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 082203-1 | New York |
Profile Details
NPI number | 1821136318 |
---|---|
LBN Legal business name | Buonagura, Tara |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2007 |
Last updated | Sep 10th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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