Organization
STEPHANIE BUCK-HASKIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE C. BUCK-HASKIN M.D. (PRESIDENT)
(516) 482-6100
Entity
Organization
Contact information
Practice address
600 NORTHERN BLVD, 109, GREAT NECK, NY 11021-5206
(516) 482-6100
(516) 466-7616
Mailing address
600 NORTHERN BLVD, 109, GREAT NECK, NY 11021-5206
(516) 482-6100
(516) 466-7616
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
150662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952362774
NPI
NY
Enumeration date
09/22/2011
Last updated
06/26/2012
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