Provider Demographics
NPI:1497280416
Name:BUONFIGLIO, JOSEPH I (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:BUONFIGLIO
Suffix:I
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 HEMPSTEAD AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-1656
Mailing Address - Country:US
Mailing Address - Phone:516-889-1330
Mailing Address - Fax:
Practice Address - Street 1:213 HEMPSTEAD AVE UNIT A
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-1656
Practice Address - Country:US
Practice Address - Phone:516-256-9523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2019-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health