Buckley, Alyssa Shannon
Buckley, Alyssa Shannon is an sole proprietor health care provider with primary practice located at 100 Nicolls Rd # T16-030 , Stony Brook NY 11794-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Buckley, Alyssa Shannon can be contacted via phone (631) 444-8478.Contact Information
Primary practice address
100 Nicolls Rd # T16-030
Stony Brook NY 11794-0001
Phone: (631) 444-8478
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA062138 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 027233 | New York |
Profile Details
| NPI number | 1972105898 |
|---|---|
| LBN Legal business name | Buckley, Alyssa Shannon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2020 |
| Last updated | Oct 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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