Individual
MARCIA MARIE EDMOND-BUCKNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 CLARKSON AVE # 67, BROOKLYN, NY 11203-2056
(718) 270-4096
(718) 270-2125
Mailing address
450 CLARKSON AVENUE, BOX 67, BROOKLYN, NY 11236
(718) 270-4096
(718) 270-2125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
249964
NY
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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