Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY J BUCKLAEW, PA
ActiveTIMOTHY J BUCKLAEW, PA is a Physician Assistant healthcare provider located in CANANDAIGUA, New York. NPI 1407310741 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CANANDAIGUA, NY
Registration Details
- NPI Number
- 1407310741
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2019 (7.3528120548498 yrs)
- Last Updated
- May 4, 2021
Practice Information
- Address
-
229 PARRISH ST STE 100CANANDAIGUA, NY, 144241791Browse NY providers · Browse ZIP 14424
- Phone
- 5853941960
- Fax
- 5853939232
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CANANDAIGUA, NY
| Name | Credential | NPI |
|---|---|---|
| KURT LUCAS | RPA-C | 1568431732 |
| MR. JEFFREY SAUNDERS TRUMBULL | RPA-C | 1790722114 |
| MR. JOHN PHILIP THOMPSON | RPA-C | 1841231529 |
| MS. JO ANN SLECKMAN | PA | 1366484925 |
| MR. EDWARD MARTIN KENNEY | RPA-C | 1942243522 |
| MS. CHERISSE SUZANNE GRIFFITH-BURNS | RPA-C | 1487745535 |
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.