Stephanie Buckner
Specialist/Technologist, Other in Brewster, NY. Individual provider (NPI-1).
NPI number1063722023
StatusActive
Last updated in NPPESOct 8, 2010
Details
- NPI
- 1063722023
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Buckner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2010
- Last updated
- Oct 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | – | – | Yes |
Practice location
111 Clock Tower CommonsBrewster, NY 10509-4055
Phone 845-279-5187
Mailing address
32 Windy Hill RdHolmes, NY 12531-5043
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Other Specialist/Technologist, Other providers in Brewster, NY
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