Buckley, Michael Timothy

Buckley, Michael Timothy is an sole proprietor health care provider with primary practice located at 449 39Th St 4Th Floor, Brooklyn NY 11232-2909. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Buckley, Michael Timothy can be contacted via phone (718) 871-7433.

Contact Information

Primary practice address
449 39Th St 4Th Floor Brooklyn NY 11232-2909
Fax: (718) 871-7419
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CASAC 17580 New York

Profile Details

NPI number 1720346406
LBN Legal business name Buckley, Michael Timothy
Credentials CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2012
Last updated May 1st, 2012 - about 14 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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