Individual provider · Type 1 NPI

Michael Angelo Buonomo I, MS.ED., PhD

Mental Health Counselor · Port Jefferson Station, NY

NPI number 1194068080 Active

Practice location

5225 Nesconset Hwy
Port Jefferson Station, NY 11776

Call (631) 473-4284 Map

Fax (631) 331-2204

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X1702281 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1194068080

Michael Angelo Buonomo I, MS.ED., PhD's National Provider Identifier is 1194068080, issued on Mar 29, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Mar 29, 2013.