Provider Demographics
NPI:1033345103
Name:BUONO, CHRISTY ILEAN (LPN)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ILEAN
Last Name:BUONO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SAUNDERS ST
Mailing Address - Street 2:
Mailing Address - City:DUNDEE
Mailing Address - State:NY
Mailing Address - Zip Code:14837-8801
Mailing Address - Country:US
Mailing Address - Phone:607-382-5031
Mailing Address - Fax:
Practice Address - Street 1:12 SAUNDERS ST
Practice Address - Street 2:
Practice Address - City:DUNDEE
Practice Address - State:NY
Practice Address - Zip Code:14837-8801
Practice Address - Country:US
Practice Address - Phone:607-382-5031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270923-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse