Provider Demographics
NPI:1962633545
Name:BUONO, ANNAMARIA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANNAMARIA
Middle Name:
Last Name:BUONO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 PEARSALL AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-5437
Mailing Address - Country:US
Mailing Address - Phone:718-874-6955
Mailing Address - Fax:
Practice Address - Street 1:2221 PEARSALL AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5437
Practice Address - Country:US
Practice Address - Phone:718-874-6955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-31
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013531-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist