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

Brooklyn Spine and Sports Medicine PC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1184147449

Brooklyn Spine and Sports Medicine PC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York, New York. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 Grand New York St Apt E1707
New York, NY 10002
Phone: (443) 255-5130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1184147449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Mendoza — Do · (443) 255-5130
NPI enumeratedJuly 19, 2017
Last updated in NPPESMarch 7, 2023
Mailing address415 Grand New York Street, Apt E1707, New York, NY 10002

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