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General NPI Number Information
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NPI Number | 1427903293
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Entity Type | Organization
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Legal Business Name | TRIBORO SPINE AND JOINT MEDICINE PLLC
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 369 E 149TH ST FL 9
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City | BRONX
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State | NY
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Zip | 10455-3906
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Country | US
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Telephone | 718-401-1111
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Fax | 718-401-2723
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Provider Business Mailing Address
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Address Line | 369 E 149TH ST FL 9
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City | BRONX
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State | NY
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Zip | 10455-3906
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Country | US
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Telephone | 718-401-1111
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Fax | 718-401-2723
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Authorized Official
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Title or Position | OWNER
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Name | MAXIM TYORKIN
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Credential | MD
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Telephone | 212-731-2002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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