Organization
TRIBORO SPINE AND JOINT MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM TYORKIN MD (OWNER)
(212) 731-2002
Entity
Organization
Contact information
Practice address
369 E 149TH ST FL 9, BRONX, NY 10455-3906
(718) 401-1111
(718) 401-2723
Mailing address
369 E 149TH ST FL 9, BRONX, NY 10455-3906
(718) 401-1111
(718) 401-2723
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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