Individual
MARCIA J BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, BOX 601, ROCHESTER, NY 14642-0001
(585) 273-1154
(585) 275-7403
Mailing address
601 ELMWOOD AVE, BOX 601, ROCHESTER, NY 14642-0001
(585) 273-1154
(585) 275-7403
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02730885
—
NY
01
—
NP0858
PREFERRED CARE
NY
Enumeration date
07/07/2006
Last updated
07/23/2007
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