Organization · Type 2 NPI

Concierge Medicine of New York PC

Orthopaedic Surgery of the Spine Physician · Lake Grove, NY

NPI number 1891609558 Active

Practice location

3070 Middle Country Road, Suite 1
Lake Grove, NY 11507

Fax (631) 532-4911

Mailing address

1188 Willis Ave # 227
Albertson, NY 11507-1229

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XNone listed
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 1891609558

Concierge Medicine of New York PC's National Provider Identifier is 1891609558, issued on Sep 30, 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 30, 2026.