Individual
BRIAN C BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
RTE 31 NORTHSTAR DRIVE, CICERO, NY 13039
(315) 218-4100
Mailing address
22 LAWRENCE ST, OSWEGO, NY 13126-3251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000345
NY
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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