Individual
MR. MICHAEL TIMOTHY BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
449 39TH ST, 4TH FLOOR, BROOKLYN, NY 11232-2909
(718) 871-7433
(718) 871-7419
Mailing address
449 39TH ST, 4TH FLOOR, BROOKLYN, NY 11232-2909
(718) 871-7433
(718) 871-7419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC 17580
NY
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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