Individual
ANGELA BUONVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
259 1ST ST, WINTHROP 2 ROOM 291, MINEOLA, NY 11501-3957
(515) 663-8693
(516) 663-8964
Mailing address
259 1ST ST, WINTHROP 2 ROOM 291, MINEOLA, NY 11501-3957
(515) 663-8693
(516) 663-8964
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
196781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01806151
—
NY
01
—
P370396
OXFORD
NY
Enumeration date
04/18/2006
Last updated
03/07/2023
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