# TRIBORO SPINE AND JOINT MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427903293
- **Authorized official:** MAXIM TYORKIN MD (OWNER)
- **Authorized official phone:** (212) 731-2002

## Contact information

- **Practice address:** 369 E 149TH ST FL 9, BRONX, NY 10455-3906
- **Practice address phone:** (718) 401-1111
- **Practice address fax:** (718) 401-2723
- **Mailing address:** 369 E 149TH ST FL 9, BRONX, NY 10455-3906
- **Mailing address phone:** (718) 401-1111
- **Mailing address fax:** (718) 401-2723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363AS0400X | Surgical Physician Assistant | — | NULL | — |
| 363AS0400X | Surgical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/26/2026
- **Last updated:** 02/26/2026