Healthcare Provider Details
I. General information
NPI: 1033318720
Provider Name (Legal Business Name): ORTHOPAEDIC & NEUROSURGERY SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/13/2007
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6 GREENWICH OFFICE PARK
GREENWICH CT
06831-5151
US
IV. Provider business mailing address
5 HIGH RIDGE PARK FL 2
STAMFORD CT
06905-1332
US
V. Phone/Fax
- Phone: 203-869-1145
- Fax:
- Phone: 203-869-1145
- Fax: 203-618-1721
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208100000X |
| Taxonomy | Physical Medicine & Rehabilitation Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SETH
MILLER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 203-869-1145