Individual
DR. CANDACE J BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
11332 MOUNTAIN VIEW AVE STE A, LOMA LINDA, CA 92354-3854
(909) 796-3707
Mailing address
585 SCHENECTADY AVE, DEPT OF ORTHOPEDICS/PODIATRY, BROOKLYN, NY 11203-1851
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
R80330
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
R80330
NY
213ER0200X
Radiology Podiatrist
R80330
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
R80330
NY
213ES0131X
Foot Surgery Podiatrist
R80330
NY
Other
Enumeration date
08/25/2013
Last updated
12/02/2021
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