person
Jack Buckanavage
Student in an Organized Health Care Education/Training Program in New York, New York
NPI 1134988249

Jack Buckanavage is a Student in an Organized Health Care Education/Training Program based in Newark, NY. Jack Buckanavage practices in New York, NY. The NPI Number for Jack Buckanavage is 1134988249 and holds a License No. (New York).

The current practice location address for Jack Buckanavage is 1468 Madison Ave, New York, NY and can be reached out via phone at 212-241-6500.

Location: 1468 Madison Ave, New York, NY, 19711-6211
person
Provider Profile Details
NPI Number
1134988249
Provider Name
Jack Buckanavage
Credential
Provider Entity Type
Individual
Gender
Male
Address
1468 Madison Ave, New York, NY, 19711-6211
Phone Number
212-241-6500
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1468 Madison Ave
City
State
Zip
10029-6508
Phone Number
212-241-6500
Fax Number
person
Provider Business Mailing Address Details
Address
1468 Madison Ave
City
State
Zip
10029-6508
Phone Number
212-241-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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