Individual
BERNADETTE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BITTERSWEET AVE, HAMPTON BAYS, NY 11946-1316
(631) 702-0201
Mailing address
22 BITTERSWEET AVE, HAMPTON BAYS, NY 11946-1316
(631) 702-0201
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
311862
NY
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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