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Individual

MS. JENNIFER ELIZABETH BUCKLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
141 S CENTRAL AVE STE 300, HARTSDALE, NY 10530-2334
(914) 328-2868
Mailing address
24 TUCKER ST, DANBURY, CT 06810-5133
(845) 661-5393

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
249628081
NY
252Y00000X
Early Intervention Provider Agency
Primary
249629081
NY

Other

Enumeration date
10/21/2008
Last updated
10/21/2008
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