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

Spine Sports & Rehabilitation Medicine, PC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1689330342

Spine Sports & Rehabilitation Medicine, PC is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Cedarhurst, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

123 Maple Ave Ste LL
Cedarhurst, NY 11516-2240
Phone: (516) 703-3580
Fax: (516) 531-8877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X

Record details

NPI number1689330342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Brunner — President · (516) 987-9837
Other names Michelle Malkie Brunner, M.D.
NPI enumeratedNovember 16, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address359 Yale Ave, Woodmere, NY 11598-2039