MEDICARE: ANNA MAGLIONE BUONO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	1016128161	NY

General Provider Information

NPI Number	:	1376078519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MAGLIONE BUONO

Provider Business Mailing Address
First Line	:	5 CHEROKEE ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-4003
Country	:	US
Telephone Number	:	646-423-8033
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 CHEROKEE ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-4003
Country	:	US
Telephone Number	:	646-423-8033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	04/25/2017

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Directions to “ ANNA MAGLIONE BUONO ” Practice Location

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