National Provider Identifier

Daniel James Bucklaew, NP

Daniel James Bucklaew, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1174182406Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1174182406
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
June 11, 2019
Last Updated
July 06, 2022

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-2100

Mailing Address

  • 91 Merrick St
  • Rochester, NY 14615-2617

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1174182406
Entity Type
Individual
Last Name
Bucklaew
First Name
Daniel
Middle Name
James
Credential
NP
Mailing Street Address
91 Merrick St
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14615-2617
Mailing Country
US
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
June 11, 2019
Last Updated
July 06, 2022
Sex
Male
Sole Proprietor
No
Certification Date
July 06, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)