Individual
JOEL S BUCHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
664 STONELEIGH AVE, STE 300 SOMERS ORTHOPAEDIC SURGERY AND SPORTS MED GR PL, CARMEL, NY 10512-3940
(845) 278-8400
(845) 278-4326
Mailing address
40 OLD RIDGEBURY RD STE 101, DANBURY, CT 06810-5123
(203) 397-6872
(203) 207-0304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
158554
NY
174400000X
Specialist
29668
CT
207X00000X
Orthopaedic Surgery Physician
Primary
158554
NY
207X00000X
Orthopaedic Surgery Physician
29668
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200045589
RAILROAD MEDICARE
NY
01
—
P00017657
RAILROAD MEDICARE
NY
Enumeration date
07/25/2006
Last updated
06/19/2024
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