Individual
CARY D BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 7TH AVE, BROOKLYN, NY 11215
(718) 246-8614
(718) 246-8656
Mailing address
PO BOX 7490, SHREWSBURY, NJ 07702
(718) 246-8614
(718) 246-8656
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
202974
NY
2084N0400X
Neurology Physician
49880
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01952221
—
NY
05
—
300002093
—
IN
05
—
7100484770
—
KY
Enumeration date
03/14/2006
Last updated
11/08/2017
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