Individual
JOHN BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
180 FAIRHAVEN DRIVE, A23, JERICHO, NY 11753
(631) 560-9397
Mailing address
180 FAIRHAVEN DR, JERICHO, NY 11753-2460
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
487505
NY
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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