Buonomo, Michael Angelo

Buonomo, Michael Angelo is an sole proprietor health care provider with primary practice located at 5225 Nesconset Hwy , Port Jefferson Station NY 11776. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Buonomo, Michael Angelo can be contacted via phone (631) 473-4284.

Contact Information

Primary practice address
5225 Nesconset Hwy Port Jefferson Station NY 11776
Phone: (631) 473-4284
Fax: (631) 331-2204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1702281 New York

Profile Details

NPI number 1194068080
LBN Legal business name Buonomo, Michael Angelo
Credentials MS.ED.,PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2013
Last updated Mar 29th, 2013 - about 11 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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