Individual
MS. BRIDGETT BUCKERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
190-11 119TH AVENUE, SAINT ALBANS, NY 11412-3324
(718) 341-8751
(718) 341-8751
Mailing address
19011 119TH AVE, SAINT ALBANS, NY 11412-3324
(718) 341-8751
(718) 341-8751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R052487-1
NY
Other
Enumeration date
08/19/2006
Last updated
01/14/2011
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