Individual
DR. SUSAN BUONOCORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 HOPE ST, MONTVALE, NJ 07645-1342
(201) 483-8015
Mailing address
1 HOPE ST, MONTVALE, NJ 07645-1342
(201) 483-8015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017106
NY
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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