| Elizabeth J. Buckley, Ph.d. Pa | |
|
98 Riverside Drive Suite C New York NY 10024-5323 | |
| (352) 665-9664 | |
| (855) 601-9484 |
| Full Name | Elizabeth J. Buckley, Ph.d. Pa |
|---|---|
| Speciality | Psychologist |
| Location | 98 Riverside Drive, New York, New York |
| Authorized Official Name and Position | Elizabeth J. Buckley (OWNER-PSYCHOLOGIST) |
| Authorized Official Contact | 3526659664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth J. Buckley, Ph.d. Pa 98 Riverside Drive Suite C New York NY 10024-5323 Ph: (352) 665-9664 | Elizabeth J. Buckley, Ph.d. Pa 98 Riverside Drive Suite C New York NY 10024-5323 Ph: (352) 665-9664 |
| NPI Number | 1245578376 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 10/28/2024 |
| Medicare PECOS PAC ID | 8123263084 |
|---|---|
| Medicare Enrollment ID | O20130325000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245578376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Buckley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962416495 PECOS PAC ID: 8921045147 Enrollment ID: I20050409000052 |
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