Organization · Type 2 NPI

Orthopedic Consultant of Long Island

Orthopaedic Surgery of the Spine Physician · Lake Grove, NY

NPI number 1306755335 Active

Practice location

3070 Middle Country Road, Suite 1
Lake Grove, NY 11755

Fax (631) 532-4911

Mailing address

601 Portion Rd Ste 204
Lake Ronkonkoma, NY 11779-4588

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery of the Spine Physician Primary 207XS0117XNone listed

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

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About NPI 1306755335

Orthopedic Consultant of Long Island's National Provider Identifier is 1306755335, issued on Sep 4, 2026. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Lake Grove, NY. The record was last updated on Sep 4, 2026.