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NPI Code Detail

MEDICARE: DR. ROBERT SEAN BUCKLEY M.D.

MEDICARE:  DR. ROBERT SEAN BUCKLEY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine PhysicianBB2667585NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174618334
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT SEAN BUCKLEY M.D.
Provider Business Mailing Address
First Line : 147 CROYDON DR
Second Line :
City : DEPEW
State : NY
Zip : 14043-4450
Country : US
Telephone Number : 716-681-6071
Fax Number :
Provider Business Practice Location Address
First Line : 2809 WEHRLE DR
Second Line : SUITE 10
City : WILLIAMSVILLE
State : NY
Zip : 14221-7380
Country : US
Telephone Number : 716-634-7097
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT SEAN BUCKLEY M.D.” Practice Location

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