Buckner, Yvonne Marcia

Buckner, Yvonne Marcia is an sole proprietor health care provider with primary practice located at 707 E Main St , Middletown NY 10940-2650. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Buckner, Yvonne Marcia can be contacted via phone (845) 333-3370.

Contact Information

Primary practice address
707 E Main St Middletown NY 10940-2650
Fax: (845) 333-3372
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002081 New York

Profile Details

NPI number 1538209168
LBN Legal business name Buckner, Yvonne Marcia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Nov 27th, 2023 - about 2 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 1538209168 NPPES
New York MEDICAID 04549813

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