SearchNew York363LA2200X

Latoya Bucknor, NP

NPI 1790241032 · on the registry since 2019

Practice

Address
13436 246th St
Rosedale, NY 11422
Phone
(917) 283-8536
Organisation at this address
Infinite Wellness Aesthetics Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York