Timothy J Bucklaew, PA
NPI #1407310741 in Canandaigua, New York
Provider Information
- NPI Number
- 1407310741
- Entity Type
- Individual
- Name
- Timothy J Bucklaew, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jan 30, 2019
- Last Updated
- May 4, 2021
Practice Location
- Address
- 229 PARRISH ST STE 100
- City
- Canandaigua
- State
- New York
- ZIP Code
- 14424-1791
- Phone
- (585) 394-1960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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