OrganizationActive
90th Street Surgical PLLC
NPI 1619795887 · Interventional Pain Medicine Physician · New York, NY
Provider details
- NPI number
- 1619795887
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- David Davydov, Director
Mailing address
435 E 90th St Ste 201
New York, NY 10128-5103
Registry dates
- Enumerated
- 2024-09-27
- Last updated
- 2024-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.