Buckley, Ryan

Buckley, Ryan is an individual health care provider with primary practice located at 1735 Route 9 , Clifton Park NY 12065-2421. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Buckley, Ryan can be contacted via phone (518) 371-5437.

Contact Information

Primary practice address
1735 Route 9 Clifton Park NY 12065-2421
Phone: (518) 371-5437
Fax: (518) 383-6737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017584 New York

Profile Details

NPI number 1124432950
LBN Legal business name Buckley, Ryan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2014
Last updated Nov 24th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124432950 NPPES
New York MEDICAID 03925775

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