Individual
CAITLYN NOEL BUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 HUCKLEBERRY LN, EAST SETAUKET, NY 11733-1801
(631) 525-7733
Mailing address
7 HUCKLEBERRY LN, EAST SETAUKET, NY 11733-1801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/25/2017
Last updated
11/25/2017
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