Individual
LUIGI BUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7905 MAIN RD, MATTITUCK, NY 11952-1518
(631) 298-2030
(631) 298-8915
Mailing address
185 OLD COUNTRY RD, SUITE 2, RIVERHEAD, NY 11901-2121
(631) 298-4479
(631) 591-3047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
191456-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480533
—
NY
Enumeration date
06/07/2006
Last updated
05/02/2013
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