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Individual

SARAH MARJORIE BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-BC

Contact information

Practice address
630 WEST 168TH STREET, NY PRESB HOSP-CU MEDICAL CENTER, MEDICAL INTENSIVE CARE UNIT B, NEW YORK, NY 10032
(703) 625-1148
Mailing address
334 E 55TH ST, APT. 15, NEW YORK, NY 10022-4173
(703) 625-1148

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
563257-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
F430676
NY

Other

Enumeration date
02/07/2013
Last updated
02/07/2013
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