Jessica Anne Buckley, MS
Individual provider Active NPI Specialist · Lindenhurst, NY
NPI 1043559917 · NPPES record last updated Feb 12, 2013
Key facts
- NPI
- 1043559917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 52 Sherbrooke Rd
Lindenhurst, NY 11757-1643 - Phone
- (516) 263-0991
- NPI assigned
- Feb 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
52 Sherbrooke Rd
Lindenhurst, NY 11757-1643
Mailing address
52 Sherbrooke Rd
Lindenhurst, NY 11757-1643
Phone (516) 263-0991
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.