Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | X008418-1 | NY |
Y | 2251X0800X | Physical Therapist - Orthopedic | 028390 | NY |
NPI | 1407865280 |
---|---|
Provider Name | Dr. Dale J Buchberger I |
First Address | Auburn, NY 13021-3121 |
Second Address | Auburn, NY 13021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 21/05/2020 |