MRS. HEATHER ANNE BUONOMO MSSPED
NPI 1114274222
Specialist in Staten Island, NY

Active since August 07, 2012
191 BUEL AVE, STATEN ISLAND, NY 10305(516) 510-3940 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Heather Anne Buonomo Mssped NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HEATHER ANNE BUONOMO MSSPED (NPI 1114274222) is an individual specialist in Staten Island, New York, licensed in New York (815792) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1114274222
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. HEATHER ANNE BUONOMOCredential: MSSPED
Location Address191 BUEL AVEStaten Island, NY 10305-1203
Mailing Address191 Buel AveStaten Island, NY 10305-1203 · (516) 510-3940
Sole ProprietorNo
Enumeration DateAugust 7, 2012
NPI 1114274222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses Licensed in NY · 815792 Licensed in NY · 1859872
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

191 BUEL AVE, Staten Island, NY 10305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114274222, enumerated as an "individual" on August 07, 2012.

The provider is located at 191 BUEL AVE STATEN ISLAND, NY 10305 and the phone number is (516) 510-3940.

Specialist with taxonomy code 174400000X.