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Organization

AMY BUCKLEY LCSW

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY BUCKLEY LCSW (CLINICAL SOCIAL WORKER)
(631) 942-5733
Entity
Organization

Contact information

Practice address
755 MONTAUK HWY, OAKDALE, NY 11769-1801
(631) 942-5733
Mailing address
26 LUDLOW WAY, OAKDALE, NY 11769-2229
(631) 942-5733

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
05/14/2024
Last updated
05/14/2024
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