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Individual

MS. VERONICA BUCKLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
53 ROUTE 17K, NEWHURGH, NY 12550
(516) 580-6739
Mailing address
132 WEST MERRICK ROAD BX 7451, 7451 P.O. BOX, FREEPORT, NY 11520-7451
(516) 580-6739
(516) 538-3019

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NY
251J00000X
Nursing Care Agency
NY
251K00000X
Public Health or Welfare Agency
NY
251T00000X
PACE Provider Organization
NY

Other

Enumeration date
09/26/2019
Last updated
09/26/2019
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