Buonomo, Stacy

Buonomo, Stacy is an individual health care provider with primary practice located at 620 Howard Ave , Altoona PA 16601-4804. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Buonomo, Stacy can be contacted via phone (814) 942-5000.

Contact Information

Primary practice address
620 Howard Ave Altoona PA 16601-4804
Phone: (814) 942-5000
Fax: (814) 942-9500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW130278 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW019283 Pennsylvania

Profile Details

NPI number 1437546579
LBN Legal business name Buonomo, Stacy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2015
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437546579 NPPES
Pennsylvania MEDICAID 1032264520001

Popular Providers