Organization
GERIATRICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOLIN A BUENO MD (CO-FOUNDER)
(646) 515-2050
Entity
Organization
Contact information
Practice address
254 MOSS SIDE DR, ATHENS, GA 30607-2109
(646) 515-2050
Mailing address
254 MOSS SIDE DR, ATHENS, GA 30607-2109
(646) 515-2050
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194061150
—
NY
05
—
1447548102
—
CT
05
—
1528356359
—
CT
Enumeration date
04/13/2021
Last updated
04/13/2021
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