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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972587681 NPPES
New York MEDICAID 00628079

Popular Providers