Buckley, Alyssa Shannon

Buckley, Alyssa Shannon is an sole proprietor health care provider with primary practice located at 100 Nicolls Rd # T16-030 , Stony Brook NY 11794-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Buckley, Alyssa Shannon can be contacted via phone (631) 444-8478.

Contact Information

Primary practice address
100 Nicolls Rd # T16-030 Stony Brook NY 11794-0001
Phone: (631) 444-8478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA062138 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 027233 New York

Profile Details

NPI number 1972105898
LBN Legal business name Buckley, Alyssa Shannon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2020
Last updated Oct 8th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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