Individual
STEPHANIE BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CLOCK TOWER COMMONS, BREWSTER, NY 10509-4055
(845) 279-5187
Mailing address
32 WINDY HILL RD, HOLMES, NY 12531-5043
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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