Active NPIIndividual provider

Mrs. Heather A Buonomo, MSSPED

Specialist in Staten Island, New York

NPI Number1114274222
Practice location
191 Buel Ave, Staten Island, NY 10305-1203
Fax
—
Last updated
August 7, 2012

Heather Anne Buonomo is a Specialist based in Staten Island, NY. Heather Anne Buonomo practices in Staten Island, NY and has the professional credentials of MSSPED. The NPI Number for Heather Anne Buonomo is 1114274222 and holds a License No. 815792 (NY). The current practice location address for Heather Anne Buonomo is 191 Buel Ave, Staten Island, NY 10305-1203 and can be reached out via phone at 516-510-3940.

Provider Profile Details

NPI Number
1114274222
Provider Name
Heather Anne Buonomo
Credential
MSSPED
Provider Entity Type
Individual
Gender
Female
Address
191 Buel Ave, Staten Island, NY 10305-1203
Phone Number
516-510-3940
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2012
Last Update Date
August 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
191 Buel Ave
Staten Island, NY 10305-1203
Zip
10305-1203
Phone Number
516-510-3940
Staten Island, NY 10305Get directions →

Provider Business Mailing Address Details

Address
191 Buel Ave
Staten Island, NY 10305-1203
City
Staten Island
State
NY
Zip
10305-1203
Phone Number
516-510-3940

License Information

License Number (1)
815792
License State (1)
NY
Taxonomy (1)
Specialist · 174400000X · Primary
License Number (2)
1859872
License State (2)
NY
Taxonomy (2)
Specialist · 174400000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Specialists near Staten Island, NY

View all Specialists in Staten Island →

Frequently Asked Questions

What is the NPI number of Mrs. Heather A Buonomo, MSSPED?

The NPI number of Mrs. Heather A Buonomo, MSSPED is 1114274222. It was assigned on August 7, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Heather A Buonomo, MSSPED?

Mrs. Heather A Buonomo, MSSPED is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 815792.

Where does Mrs. Heather A Buonomo, MSSPED practice?

The practice location is 191 Buel Ave, Staten Island, NY 10305-1203. The office can be reached at 516-510-3940 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114274222 directly on the NPPES registry website.

Browse related providers