Individual
SEAN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
14 ARLINGTON PARK, CANANDAIGUA, NY 14424-1064
(585) 455-6868
Mailing address
14 ARLINGTON PARK, CANANDAIGUA, NY 14424-1064
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005421
OH
2255A2300X
Athletic Trainer
—
OH
Other
Enumeration date
06/15/2017
Last updated
07/21/2017
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