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1407310741
TIMOTHY J BUCKLAEW
CANANDAIGUA, NY
NPI
1407310741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-01-30
Last Update Date
2021-05-04
Business Address
TIMOTHY J BUCKLAEW PA
229 PARRISH ST STE 100
CANANDAIGUA, NY 14424-1791
Phone number: 585-394-1960
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Mailing Address
TIMOTHY J BUCKLAEW PA
57 BAIER DR
ROCHESTER, NY 14606-5311
Phone number: 585-755-3908
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