Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY BUCKNAM, P.A.
ActiveMARY BUCKNAM, P.A. is a Medical Physician Assistant healthcare provider located in ITHACA, New York. NPI 1104906726 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ITHACA, NY
Registration Details
- NPI Number
- 1104906726
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 17, 2006 (19.842523240954 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0032601 (NY)
Practice Information
- Address
-
1301 TRUMANSBURG RDSUITE HITHACA, NY, 148501397Browse NY providers · Browse ZIP 14850
- Phone
- 6072726880
- Fax
- 6072721436
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ITHACA, NY
| Name | Credential | NPI |
|---|---|---|
| MS. MARY JANE WELCH | PHYSICIAN ASSISTANG | 1487694469 |
| MARK A WERNHAM | MS,PA-C | 1205849981 |
| MS. PAULA FITZSIMMONS | P.A. | 1023154549 |
| SHION DONAHUE | PA-C | 1740675586 |
| RACHEL CUNNINGHAM | PA | 1376018077 |
| TAMMY SUE WALRATH | PA | 1891261228 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.