Doctor Name: | MS. GLORIA BUONCRISTIANO-THAI |
NPI Number: | 1902049000 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. |
License Number: | 020649 |
Business Practice Address: | 110 Hatcher Ct Yorktown, VA - 236932848 |
Business Phone Number: | 7572322162 |
Business Fax Number: | |
Mailing Address: | 110 Hatcher Ct, YORKTOWN |
State: | VA |
Postal Code: | 236932848 |
Phone Number: | 7572322162 |
Fax Number: | |
NPI Enumeration Date: | 04/20/2009 |
NPI Last Update Date: | 04/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 020649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |