National Provider Identifier

Kenneth Charles Bucaro

Kenneth Charles Bucaro is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Clifton Springs, NY and a listed phone number of (315) 462-1050.

NPI 1881199180Clifton Springs, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1881199180
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
March 28, 2018
Last Updated
March 28, 2018

Practice Location

  • 2 Coulter RD
  • Clifton Springs, NY 14432-1122

Phone: (315) 462-1050

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1881199180
Entity Type
Individual
Last Name
Bucaro
First Name
Kenneth
Middle Name
Charles
Mailing Street Address
2 Coulter RD
Mailing City
Clifton Springs
Mailing State
NY
Mailing ZIP Code
14432-1122
Mailing Country
US
Mailing Phone
(315) 462-1050
Practice Street Address
2 Coulter RD
Practice City
Clifton Springs
Practice State
NY
Practice ZIP Code
14432-1122
Practice Country
US
Practice Phone
(315) 462-1050
Enumeration Date
March 28, 2018
Last Updated
March 28, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)