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Organization
RICHMOND BEHAVIORAL WELLNESS PHYSICIAN PLLC
Active
Organization
RICHMOND BEHAVIORAL WELLNESS PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DIBUONO MD (OWNER)
(718) 317-5522
Entity
Organization
Contact information
Practice address
260 CHRISTOPHER LN STE 3F, STATEN ISLAND, NY 10314-1607
(718) 317-5522
(718) 494-5714
Mailing address
260 CHRISTOPHER LN STE 3F, STATEN ISLAND, NY 10314-1607
(718) 317-5522
(718) 494-5714
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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