Individual
YVONNE MARCIA BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-3370
(845) 333-3372
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04549813
—
NY
Enumeration date
02/06/2007
Last updated
11/27/2023
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