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Contact Information

WILLIAM J BUCKLEY, MD
1279 E MAIN ST
RIVERHEAD, NY11901-2583
 Phone: 631-727-2100
 Fax: 631-727-2646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM J BUCKLEY · (Male)

NPI # 1710155916
Status Active
Credentials MD
Entity Individual
Enumeration date 02/11/2008
Last updated 03/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 233724
  • NY Medicaid 02975244
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • NYU HOSPITALS CENTER - (Acute Care)
    550 FIRST AVENUE
    NEW YORK, NY 10016
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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