Buckley-White, Joan D

Buckley-White, Joan D is an individual health care provider with primary practice located at 819 S Salina St , Syracuse NY 13202-3536. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Buckley-White, Joan D can be contacted via phone (315) 476-7921.

Contact Information

Primary practice address
819 S Salina St Syracuse NY 13202-3536
Phone: (315) 476-7921
Fax: (315) 475-1448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 047111 New York

Profile Details

NPI number 1801851779
LBN Legal business name Buckley-White, Joan D
Credentials LCSW-R
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Apr 5th, 2016 - about 8 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 1801851779 NPPES
New York MEDICAID 04317520

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