person
Dr. Michael Angelo Buonomo I, MSED,PHD
Mental Health Counselor in Port Jefferson Station, New York
NPI 1194068080

Michael Angelo Buonomo I is a Mental Health Counselor based in Port Jefferson Station, NY and is specialized in Mental Health. Michael Angelo Buonomo I practices in Port Jefferson Station, NY and has the professional credentials of MSED,PHD. The NPI Number for Michael Angelo Buonomo I is 1194068080 and holds a License No. 1702281 (New York).

The current practice location address for Michael Angelo Buonomo I is 5225 Nesconset Hwy, Port Jefferson Station, NY and can be reached out via phone at 631-473-4284 and via fax at 631-331-2204.

Location: 5225 Nesconset Hwy, Port Jefferson Station, NY, 11776-2053
person
Provider Profile Details
NPI Number
1194068080
Provider Name
Michael Angelo Buonomo I
Credential
MSED,PHD
Provider Entity Type
Individual
Gender
Male
Address
5225 Nesconset Hwy, Port Jefferson Station, NY, 11776-2053
Phone Number
631-473-4284
Fax Number
631-331-2204
Provider Enumeration Date
03/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5225 Nesconset Hwy
City
State
Zip
11776
Phone Number
631-473-4284
Fax Number
631-331-2204
person
Provider Business Mailing Address Details
Address
5225 Nesconset Hwy
City
State
Zip
11776
Phone Number
631-473-4284
Fax Number
631-331-2204
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1702281 (New York)
Definition
Definition to come...
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