Doreen Marie Buckley, CERTIFIED OCCUPATION

Individual provider Active NPI Occupational Therapy Assistant · Thiells, NY

NPI 1124480462 · NPPES record last updated Mar 25, 2016

Key facts

NPI
1124480462
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
005743-1 (NY)
Practice address
11 Wilbur Rd.
Thiells, NY 10984
Phone
(845) 947-6203
Fax
(845) 947-6205
NPI assigned
Mar 25, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 005743-1 NY Yes

Addresses

Primary practice location

11 Wilbur Rd.
Thiells, NY 10984

Mailing address

11 Wilbur Rd.
Thiells, NY 10984
Phone (845) 947-6203

Other providers in Thiells, NY

All providers in Thiells, NY · Occupational Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.