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Organization
SOMERS ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PLLC
Active
Organization
SOMERS ORTHOPAEDIC SURGERY & SPORTS MEDICINE GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEENA BUCHALTER (CREDENTIALING)
(845) 230-5161
Entity
Organization
Contact information
Practice address
664 STONELEIGH AVE STE 300, CARMEL, NY 10512-3990
(845) 230-5161
(845) 278-4320
Mailing address
664 STONELEIGH AVE STE 300, CARMEL, NY 10512-3990
(845) 230-5161
(845) 278-4320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020094
NY
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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