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General NPI Number Information
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NPI Number | 1952721516
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Entity Type | Organization
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Legal Business Name | JOSEPH L BUONO M.D., P.C.
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 2422 KNAPP ST
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City | BROOKLYN
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State | NY
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Zip | 11235-1006
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Country | US
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Telephone | 718-989-2264
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Fax | 718-332-0649
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Provider Business Mailing Address
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Address Line | 1811 CARLTON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-2201
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Country | US
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Telephone | 718-966-6869
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Fax | 718-989-6995
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Authorized Official
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Title or Position | PHYSICAN
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Name | JOSEPH L BUONO
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Credential | MD
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Telephone | 718-989-2264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 221424-1
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License Number State | NY
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