Healthcare Provider Details

I. General information

NPI: 1700562220
Provider Name (Legal Business Name): EMILY BUONO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 RIVERSIDE DR
MATAMORAS PA
18336-1564
US

IV. Provider business mailing address

114 RIVERSIDE DR APT 110
MATAMORAS PA
18336-1564
US

V. Phone/Fax

Practice location:
  • Phone: 845-391-3281
  • Fax:
Mailing address:
  • Phone: 845-391-3281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC020623
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberD-010589
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: