Individual
DR. ROBERT SEAN BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 WEHRLE DR, SUITE 10, WILLIAMSVILLE, NY 14221-7380
(716) 634-7097
Mailing address
147 CROYDON DR, DEPEW, NY 14043-4450
(716) 681-6071
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
BB2667585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01264731
—
NY
Enumeration date
10/04/2006
Last updated
07/08/2007
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