Healthcare Provider Details

I. General information

NPI: 1619917408
Provider Name (Legal Business Name): FREDERICK F BUECHEL JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 09/06/2022
Certification Date: 09/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W 13TH ST FL 6
NEW YORK NY
10011-7702
US

IV. Provider business mailing address

200 W 13TH ST FL 6
NEW YORK NY
10011-7702
US

V. Phone/Fax

Practice location:
  • Phone: 212-308-3089
  • Fax: 646-844-1396
Mailing address:
  • Phone: 212-308-3089
  • Fax: 646-844-1396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number281137
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: