Individual
JAMES DOUGLAS BUCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 EAST MAIN STREET, DRYDEN, NY 13053
(607) 423-4722
Mailing address
PO BOX 1092, DRYDEN, NY 13053-1092
(607) 423-4722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
024376
NY
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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