Organization
HIGHLINE ORTHOPAEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO MANCUSO MD (OWNER)
(212) 457-0878
Entity
Organization
Contact information
Practice address
16 PARK PLACE, NEW YORK, NY 10007
(212) 457-0878
(212) 457-0878
Mailing address
16 PARK PLACE, NEW YORK, NY 10007
(212) 235-1692
(212) 235-1693
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
284074
NY
207XS0106X
Orthopaedic Hand Surgery Physician
211177
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
284074
NY
208100000X
Physical Medicine & Rehabilitation Physician
278727
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
278727
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
278727
NY
363A00000X
Physician Assistant
014633
NY
363AM0700X
Medical Physician Assistant
014633
NY
363AS0400X
Surgical Physician Assistant
014633
NY
Other
Enumeration date
05/13/2016
Last updated
03/06/2025
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