Individual
MRS. GAYLE BUCKLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
318 RUHLE RD S, BALLSTON LAKE, NY 12019-1030
(518) 899-4133
(518) 899-5764
Mailing address
318 RUHLE RD S, BALLSTON LAKE, NY 12019-1030
(518) 899-4133
(518) 899-5764
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
107075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00628079
—
NY
Enumeration date
12/06/2005
Last updated
07/08/2007
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