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Organization
SOMERS ORTHOPAEDIC SURGERY & SPORTS MED GROUP PLLC
Active
Organization
SOMERS ORTHOPAEDIC SURGERY & SPORTS MED GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL BUCHALTER MD (OWNER/PRESIDENT)
(845) 278-8400
Entity
Organization
Contact information
Practice address
657 E MAIN ST STE 3, MOUNT KISCO, NY 10549-3424
(914) 666-5550
(914) 241-4206
Mailing address
664 STONELEIGH AVE, SUITE 300, CARMEL, NY 10512-3940
(845) 278-8400
(845) 278-4320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA1251
MEDICARE RAILROAD
NY
Enumeration date
01/23/2008
Last updated
03/15/2012
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