Organization · Type 2 NPI

Independent Spine Surgeons of New York

Neurological Surgery Physician · New York, NY

NPI number 1366376774 Active

Practice location

56 W 45th St # 902
New York, NY 10036-0385

Mailing address

2025 Broadway Apt 29A
New York, NY 10023-5046

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Orthopaedic Surgery of the Spine Physician 207XS0117XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1366376774

Independent Spine Surgeons of New York's National Provider Identifier is 1366376774, issued on Jun 10, 2026. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in New York, NY. The record was last updated on Jun 10, 2026.