Individual
DR. RICHARD JOSEPH BUCKLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125872
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010022101
UNIVERA
—
01
—
000507543001
BLUE SHIELD BLUE CROSS
—
05
—
00670640060
—
NY
01
—
1701469
INDEPENDENT HEALTH
—
Enumeration date
12/05/2006
Last updated
04/20/2011
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