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Individual

DR. ALEX SAMUEL BUCKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
244 HOYT ST APT 4R, BROOKLYN, NY 11217-2999
(914) 329-0567
Mailing address
244 HOYT ST APT 4R, BROOKLYN, NY 11217-2999
(914) 329-0567

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
022751-01
NY
103TC0700X
Clinical Psychologist
Primary
P07164
NY

Other

Enumeration date
07/28/2017
Last updated
07/12/2024
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