Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

90th Street Surgical PLLC

Organization Interventional Pain Medicine Physician · NPI 1619795887

90th Street Surgical PLLC is an Interventional Pain Medicine Physician in New York, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

435 E 90th St Ste 201
New York, NY 10128-5103
Phone: (315) 302-9073
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1619795887
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Davydov — Director · (315) 302-9073
NPI enumeratedSeptember 27, 2024
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address435 E 90th St Ste 201, New York, NY 10128-5103

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