NPI 1376667808 · live from the CMS NPI Registry
Brian James Buonocore, MD
Radiology, Diagnostic Radiology in Mineola, NY. National Provider Identifier 1376667808, active.
NPI record
| NPI | 1376667808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501 |
| Practice phone | 516-663-4510 |
| Mailing address | Po Box 410197, Boston, MA 02241 |
| Enumerated | March 19, 2007 |
| Last updated | August 12, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 236151 (NY) |
| Radiology, Diagnostic Radiology | 2085R0202X | CMD16239 (RI) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 56363 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.