Healthcare Provider Details

I. General information

NPI: 1720137730
Provider Name (Legal Business Name): CATHERINE M. DEL BUONO N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 E 38TH ST
NEW YORK NY
10016-2607
US

IV. Provider business mailing address

1404 SILVERLING WAY
RALEIGH NC
27613-6872
US

V. Phone/Fax

Practice location:
  • Phone: 844-359-8363
  • Fax: 833-955-3592
Mailing address:
  • Phone: 919-332-4560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number900139
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number1043889967
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number1992372403
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number1992372403
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP027685
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ14867600
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number900139
License Number StateNC
# 8
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number203176
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: