Individual
ALYSSA BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 RAZ AVE, NEW WINDSOR, NY 12553-4705
(845) 564-1855
Mailing address
249 BROADWAY, NEWBURGH, NY 12550-5452
(845) 561-0670
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008894-1
NY
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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