Individual provider · Type 1 NPI

Timothy J. Bucklaew, PA

Physician Assistant · Canandaigua, NY

NPI number 1407310741 Active

Practice location

229 Parrish St Ste 100
Canandaigua, NY 14424-1791

Call (585) 394-1960 Map

Fax (585) 393-9232

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice locations

2410 Ridgeway Ave, Rochester, NY 14626-4114 · (585) 723-3000
360 Linden Oaks Ste 100, Rochester, NY 14625-2814 · (585) 723-3000
2115 Chili Ave, Rochester, NY 14624-3425 · (585) 723-7600
2621 Culver Rd, Rochester, NY 14609-1746 · (585) 295-5476
360 Linden Oaks Ste 200, Rochester, NY 14625-2814 · (585) 366-2010
140 Cobblestone Court Dr, Victor, NY 14564-1045 · (585) 922-9280
50 Middle Rd, Henrietta, NY 14467-9312 · (585) 723-7600

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	023245 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

4 other providers at this address

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About NPI 1407310741

Timothy J. Bucklaew, PA's National Provider Identifier is 1407310741, issued on Jan 30, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Canandaigua, NY. The record was last updated on Mar 25, 2026.