Individual
LAURA ANN BUCKHEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(631) 419-6737
Mailing address
44 BAY AVE, BAYPORT, NY 11705-2002
(631) 278-0694
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
378559-1
NY
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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