National Provider Identifier
Timothy J Bucklaew, PA
Timothy J Bucklaew, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Canandaigua, NY and a listed phone number of (585) 394-1960.
Profile Overview
- NPI
- 1407310741
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 30, 2019
- Last Updated
- May 04, 2021
Practice Location
- 229 Parrish St Ste 100
- Canandaigua, NY 14424-1791
Phone: (585) 394-1960
Mailing Address
- 57 Baier Dr
- Rochester, NY 14606-5311
Specialties
- Physician Assistant (363A00000X)
Endpoints
- tbucklaew307316@direct.rochesterregional.org
Direct Messaging Address | Direct | Canandaigua, NY 14424
Full Record
- NPI
- 1407310741
- Entity Type
- Individual
- Last Name
- Bucklaew
- First Name
- Timothy
- Middle Name
- J
- Credential
- PA
- Mailing Street Address
- 57 Baier Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14606-5311
- Mailing Country
- US
- Mailing Phone
- (585) 755-3908
- Practice Street Address
- 229 Parrish St Ste 100
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1791
- Practice Country
- US
- Practice Phone
- (585) 394-1960
- Practice Fax
- (585) 393-9232
- Enumeration Date
- January 30, 2019
- Last Updated
- May 04, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 04, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)