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AMANDA MARIECHEN BUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
12 DOVER CT, BAY SHORE, NY 11706-8913
(516) 983-5011

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
022354
NY

Other

Enumeration date
07/30/2018
Last updated
07/30/2018
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