Individual ProviderAngeli BuenoFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address632 Broadway Ph 12, New York, NY 10012-2614(347) 294-3414(443) 805-9900PECOS EnrollmentBased on the most recent information from CMS, provider Angeli Bueno is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1982066411Provider TypeIndividualFull NameBueno, AngeliCredentialMD, MPHGenderFemaleSole ProprietorNoEnumeration Date3/23/2016Last Updated1/3/2023Contact InformationPractice LocationPractice Address632 Broadway Ph 12, New York, NY 10012-2614Phone(347) 294-3414FaxUnlisted FaxMailing LocationMailing Address1670 E 120th St Fl 2, Los Angeles, CA 90059-3026Phone(443) 805-9900FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA152694California