Provider Demographics
NPI:1730467465
Name:BUONAGURO, RENEE LYNN (ANP-C)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:LYNN
Last Name:BUONAGURO
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Gender:F
Credentials:ANP-C
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Mailing Address - Street 1:161 FORT WASHINGTON AVE
Mailing Address - Street 2:IRVING PAVILION 9 919
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3729
Mailing Address - Country:US
Mailing Address - Phone:212-305-1731
Mailing Address - Fax:212-305-6762
Practice Address - Street 1:161 FORT WASHINGTON AVE
Practice Address - Street 2:HERBERT IRVING PAVILLION
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3729
Practice Address - Country:US
Practice Address - Phone:212-305-1731
Practice Address - Fax:212-305-6762
Is Sole Proprietor?:No
Enumeration Date:2011-07-29
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF305649-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health