JACQUELYN BUCKLEY


Address: 154 Warren Street, Glens Falls, NY 12801
Phone: 5187989985

JACQUELYN BUCKLEY (NPI# 1871500165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871500165
Entity Type Individual
Full Name JACQUELYN BUCKLEY
Credential RPA-C
Practice Address 154 Warren Street
Glens Falls
NY 12801
Practice Telephone 5187989985
Practice Fax Number 5187617043
Mailing Telephone 5187989985
Mailing Fax Number 5187617043
Enumeration Date 2006-08-01
Last Update Date 2010-08-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 010844 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 00630039 05

Office Location

Street Address 154 WARREN STREET
City GLENS FALLS
State NY
Zip Code 12801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225297948 Kathryn Day Parker Pediatrics 154 Warren Street, Glens Falls Pediatric Consultants, Glens Falls, NY 12801-0000 2008-06-06
1982754651 Julie Pirozzolo Nurse Practitioner 154 Warren Street, Glens Falls, NY 12801 2007-01-12
1265531883 Amy E. Mcgarry Pediatrics 154 Warren Street, Glens Falls, NY 12801 2006-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629549399 Upstate Vision Care, Pllc Technician/Technologist 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 2018-12-06
1043737356 Tiffany Britt Social Worker 43 Kensington Rd, Glens Falls, NY 12801 2017-08-28
1922375922 Kathleen A Callaghan Registered Nurse 43 Kensington Road, Glens Falls, NY 12801 2011-11-19
1043595531 Nancy K. Carroll Social Worker 37 Broad St., Glens Falls, NY 12801 2011-10-15
1992027528 Benjamin Alan Rametta Pharmacist 202 Broad Street, Walgreens, Glens Falls, NY 12801 2010-02-23
1194052563 Angela M Lalla Audiologist 318 Ridge Street, Glens Sallas, NY 12801 2009-11-05
1407018591 Marilyn J Bryan Counselor 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 2008-06-30
1104087667 Chase Chiropractic LLC Chiropractor 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 2008-06-18
1619183571 Glens Falls Crossings LLC Skilled Nursing Facility 170 Warren Street, Glens Falls, NY 12801 2007-05-15
1417099706 Patricia Ann Cameron Psychologist 464 Glen Street, Glens Falls, NY 12801 2007-02-13
Find all providers in zip 12801

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730199449 Kelly Reed Physician Assistant 1 Southwestern Ave, Glens Falls, NY 12801-4390 2006-08-08
1568486694 Rebecca Broadaway Physician Assistant Glens Falls Hospital Ecc, 100 Park Ave, Glens Falls, NY 12801 2006-07-26
1114960580 Magdeline Inzerilli Physician Assistant 100 Broad St, Glens Falls, NY 12801-4349 2006-06-14
1225007347 Jeannelle M Shaver Physician Assistant 102 Park Street Pryun Pavilioin At Glens Falls Hospital, The Vascular Group Pllc, Glens Falls, NY 12801 2006-03-14
1972101178 Marissa Elaine Chaffee Physician Assistant 3 Irongate Ctr, Glens Falls, NY 12801-3471 2020-10-12
1730744608 Danielle Marie Tetreault Physician Assistant 100 Broad St, Glens Falls, NY 12801-4349 2019-05-07
1043796816 Melody K Long Physician Assistant 100 Park St, Glens Falls, NY 12801-4447 2018-07-16
1861978710 Aaron B Heckler Physician Assistant 100 Park St, Glens Falls, NY 12801-4413 2018-07-13
1023505880 Evan Markessinis Physician Assistant 100 Park St, Glens Falls, NY 12801-4447 2018-04-17
1053837674 Robert J French Physician Assistant 100 Broad St, Glens Falls, NY 12801-4349 2017-08-15
Find all providers in GLENS FALLS

Competitor

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City GLENS FALLS
Zip Code 12801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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