Provider Demographics
NPI:1750412706
Name:NEW YORK ORTHOPEDIC SPECIALISTS PC
Entity type:Organization
Organization Name:NEW YORK ORTHOPEDIC SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:VANDERWINK
Authorized Official - Last Name:HAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-723-4244
Mailing Address - Street 1:1 DEER PARK MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-3804
Mailing Address - Country:US
Mailing Address - Phone:203-629-3428
Mailing Address - Fax:914-725-3291
Practice Address - Street 1:700 WHITE PLAINS RD
Practice Address - Street 2:SUITE 10
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583
Practice Address - Country:US
Practice Address - Phone:914-723-4244
Practice Address - Fax:914-725-3291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168044207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWWR891OtherMEDICARE ID
CTC03338Medicare PIN
NYWWR891OtherMEDICARE ID
NYWWR891Medicare PIN