JACK BUCKANAVAGE

NEW YORK, NY
NPI1134988249
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-19
Last Update Date2024-03-19
Business Address
JACK BUCKANAVAGE
1468 MADISON AVE
NEW YORK, NY 10029-6508
Phone number: 212-241-6500
Mailing Address
JACK BUCKANAVAGE
47 W PERIWINKLE LN
NEWARK, DE 19711-6211
Phone number: 302-357-6934