MS. Nicole Theresa Buonanno, PA-C
NPI #1104983212 in Poughkeepsie, New York
Provider Information
- NPI Number
- 1104983212
- Entity Type
- Individual
- Name
- MS. Nicole Theresa Buonanno, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9 LIVINGSTON STREET
- Address 2
- SUITE 5 - DR. KUCHEROV
- City
- Poughkeepsie
- State
- New York
- ZIP Code
- 12601
- Phone
- (845) 454-0728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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