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Alyssa Shannon Buckley, PA-C
Medical Physician Assistant in Stony Brook, New York
NPI 1972105898

Alyssa Shannon Buckley is a Medical Physician Assistant based in Stony Brook, NY and is specialized in Medical. Alyssa Shannon Buckley practices in Stony Brook, NY and has the professional credentials of PA-C. The NPI Number for Alyssa Shannon Buckley is 1972105898 and holds a License No. MA062138 (New York).

The current practice location address for Alyssa Shannon Buckley is 100 Nicolls Rd # T16-030, Stony Brook, NY and can be reached out via phone at 631-444-8478.

Location: 100 Nicolls Rd # T16-030, Stony Brook, NY, 11794-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972105898
Provider Name
Alyssa Shannon Buckley
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
100 Nicolls Rd # T16-030, Stony Brook, NY, 11794-0001
Phone Number
631-444-8478
Fax Number
Provider Enumeration Date
11/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Nicolls Rd # T16-030
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-8478
Fax Number
person
Provider Business Mailing Address Details
Address
100 Nicolls Rd # T16-030
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-444-8478
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA062138 (Pennsylvania)
Definition
Definition to come...
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