MRS. Jessica Anne Buckley, MS

NPI #1043559917 in Lindenhurst, New York

Provider Information

NPI Number: 1043559917
Entity Type: Individual
Name: MRS. Jessica Anne Buckley, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MS
Enumeration Date: Feb 12, 2013
Last Updated: Feb 12, 2013

Practice Location

Address: 52 SHERBROOKE RD
City: Lindenhurst
State: New York
ZIP Code: 11757-1643
Phone: (516) 263-0991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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