Provider Demographics
NPI:1326322769
Name:FRIEDRICH BOETTNER, MD, P.C.
Entity Type:Organization
Organization Name:FRIEDRICH BOETTNER, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATTENDING ORTHOPAEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:FRIEDRICH
Authorized Official - Middle Name:
Authorized Official - Last Name:BOETTNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-774-2127
Mailing Address - Street 1:535 EAST 70TH STREET
Mailing Address - Street 2:HOSPITAL FOR SPECIAL SURGERY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4823
Mailing Address - Country:US
Mailing Address - Phone:212-774-2127
Mailing Address - Fax:646-797-8363
Practice Address - Street 1:523 E 72ND ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4099
Practice Address - Country:US
Practice Address - Phone:212-774-2127
Practice Address - Fax:646-797-8363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253920207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty