Amanda Denise Buonora, P.T.
Individual provider Active NPI Physical Therapist · Wantagh, NY
NPI 1619014693 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619014693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 015406 (NY)
- Practice address
- 3030 Clovermere Rd
Wantagh, NY 11793-2532 - Phone
- (516) 679-8551
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015406 | NY | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 015406 | NY | Yes |
Addresses
Primary practice location
3030 Clovermere Rd
Wantagh, NY 11793-2532
Mailing address
3030 Clovermere Rd
Wantagh, NY 11793-2532
Phone (516) 679-8551
Other names
- Mrs. Amanda Denise Jung
Other providers in Wantagh, NY
- Ashley Rose Browning
- Christie Marie Brulhardt
- Marianne Elizabeth Brulhardt
- Nicole Marie Buffolino
- Jamie Bunsis
- David M Burgess
- Christine A Burrows
- Patrick Butler
- Theresa C Byrne
- Dianne Caduhada
All providers in Wantagh, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.