Provider Demographics
NPI:1710754098
Name:58TH STREET ORTHOPEDIC MEDICINE PC
Entity Type:Organization
Organization Name:58TH STREET ORTHOPEDIC MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:SPRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-813-2543
Mailing Address - Street 1:133 E 58TH ST STE 310
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1169
Mailing Address - Country:US
Mailing Address - Phone:212-813-2543
Mailing Address - Fax:212-813-2519
Practice Address - Street 1:133 E 58TH ST STE 310
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1169
Practice Address - Country:US
Practice Address - Phone:212-813-2543
Practice Address - Fax:212-813-2519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty