Individual
DANIEL JAMES BUCKLAEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2100
Mailing address
91 MERRICK ST, ROCHESTER, NY 14615-2617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344408
NY
Other
Enumeration date
06/11/2019
Last updated
07/06/2022
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