Healthcare Provider Details

I. General information

NPI: 1932029543
Provider Name (Legal Business Name): DOWDELL ORTHOPEDIC SPINE SURGERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 E 71ST ST
NEW YORK NY
10021-4871
US

IV. Provider business mailing address

PO BOX 37112
NEW YORK NY
10087-3501
US

V. Phone/Fax

Practice location:
  • Phone: 212-224-7980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES EUGENE DOWDELL
Title or Position: OWNER
Credential:
Phone: 631-776-7610