Individual ProviderMarla BuckleySpecialistOther Service ProvidersPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Marla Buckley does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1942562871Provider TypeIndividualFull NameBuckley, MarlaGenderFemaleSole ProprietorNoEnumeration Date6/15/2012Last Updated6/15/2012Contact InformationPractice LocationPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address2277 Goshen Tpke, Middletown, NY 10941-4032Phone(845) 692-4391FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer