Buckley, Gayle
Buckley, Gayle is an individual health care provider with primary practice located at 318 Ruhle Rd S , Ballston Lake NY 12019-1030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Buckley, Gayle can be contacted via phone (518) 899-4133.Contact Information
Primary practice address
318 Ruhle Rd S
Ballston Lake NY 12019-1030
Phone: (518) 899-4133
Fax: (518) 899-5764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 107075 | New York |
Profile Details
| NPI number | 1972587681 |
|---|---|
| LBN Legal business name | Buckley, Gayle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972587681 | NPPES |
| New York | MEDICAID | 00628079 |
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