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Contact Information

COLLEEN E BUCKLEY, RN, CPNP
601 ELMWOOD AVE
ROCHESTER, NY14642-0001
 Phone: 585-757-5052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COLLEEN E BUCKLEY · (Female)

NPI # 1962177576
Status Active
Credentials RN, CPNP
Entity Individual
Enumeration date 08/16/2021
Last updated 07/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 383281
  • NY License # 673759
Hospital affiliation(s) Not Available
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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