Healthcare Provider Details

I. General information

NPI: 1285560706
Provider Name (Legal Business Name): KATHERINE BUCHLER
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 NY-25A
ROCKY POINT NY
11778
US

IV. Provider business mailing address

7 4TH AVE
ROCKY POINT NY
11778-9426
US

V. Phone/Fax

Practice location:
  • Phone: 631-849-6000
  • Fax:
Mailing address:
  • Phone: 631-356-9116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: