- Practice location
- 435 E 90TH St Ste 201, New York, NY 10128-5103
- Phone
- 315-302-9073
- Fax
- —
- Last updated
- September 27, 2024
90TH Street Surgical PLLC is a healthcare organization based in New York, NY. 90TH Street Surgical PLLC practices in New York, NY. The NPI Number for 90TH Street Surgical PLLC is 1619795887. The current practice location address for 90TH Street Surgical PLLC is 435 E 90TH St Ste 201, New York, NY 10128-5103 and can be reached out via phone at 315-302-9073.
Provider Profile Details
- NPI Number
- 1619795887
- Provider Name
- 90TH Street Surgical PLLC
- Provider Entity Type
- Organization
- Address
- 435 E 90TH St Ste 201, New York, NY 10128-5103
- Phone Number
- 315-302-9073
- Primary Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X
- Organization Subpart
- No
- Authorized Official
- David Davydov, OPA-C · Director · 315-302-9073
- Provider Enumeration Date
- September 27, 2024
- Last Update Date
- September 27, 2024
- Certification Date
- September 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 435 E 90TH St Ste 201
New York, NY 10128-5103 - City
- New York
- State
- New York
- Zip
- 10128-5103
- Phone Number
- 315-302-9073
Provider Business Mailing Address Details
- Address
- 435 E 90TH St Ste 201
New York, NY 10128-5103 - City
- New York
- State
- NY
- Zip
- 10128-5103
- Phone Number
- 315-302-9073
License Information
- Taxonomy
- Pain Medicine, Interventional Pain Medicine · 208VP0014X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 90TH Street Surgical PLLC?
The NPI number of 90TH Street Surgical PLLC is 1619795887. It was assigned on September 27, 2024 and is currently active in the NPPES registry.
What is the specialty of 90TH Street Surgical PLLC?
90TH Street Surgical PLLC is registered under the primary taxonomy Pain Medicine, Interventional Pain Medicine (code 208VP0014X).
Where does 90TH Street Surgical PLLC practice?
The practice location is 435 E 90TH St Ste 201, New York, NY 10128-5103. The office can be reached at 315-302-9073 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619795887 directly on the NPPES registry website.