MEDICARE: JOSEPH L BUONO M.D., P.C.

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	207Q00000X	Family Medicine Physician	221424-1	NY

General Provider Information

NPI Number	:	1952721516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH L BUONO M.D., P.C.

Provider Business Mailing Address
First Line	:	1811 CARLTON AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-2201
Country	:	US
Telephone Number	:	718-966-6869
Fax Number	:	718-989-6995

Provider Business Practice Location Address
First Line	:	3518 AVENUE S
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4828
Country	:	US
Telephone Number	:	718-989-2264
Fax Number	:	718-332-0649

Authorized Official
Title or Position	:	PHYSICAN
Name	:	JOSEPH L BUONO
Credential	:	MD
Telephone Number	:	718-989-2264

Provider Enumeration Date	:	04/22/2014
Last Update Date	:	06/10/2026

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