Organization
SPECIAL SURGERY ORTHOPEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JUDE MAYNARD MD (PRESIDENT)
(212) 774-1985
Entity
Organization
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 774-1985
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 774-1985
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
09/11/2025
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