Provider Demographics
NPI:1528076528
Name:NEW YORK SPINE SPECIALISTS LLP
Entity type:Organization
Organization Name:NEW YORK SPINE SPECIALISTS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEBASTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LATTUGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACOS
Authorized Official - Phone:516-355-0111
Mailing Address - Street 1:2001 MARCUS AVE
Mailing Address - Street 2:STE 170 WEST NEW YORK SPINE SPECIALISTS LLP
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1035
Mailing Address - Country:US
Mailing Address - Phone:516-355-0111
Mailing Address - Fax:516-355-5457
Practice Address - Street 1:2001 MARCUS AVE
Practice Address - Street 2:STE 170 WEST NEW YORK SPINE SPECIALISTS LLP
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042-1035
Practice Address - Country:US
Practice Address - Phone:516-355-0111
Practice Address - Fax:516-355-5457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty