Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spine Sports & Rehabilitation Medicine, PC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1689330342

Spine Sports & Rehabilitation Medicine, PC provides Sports Medicine (Neuromusculoskeletal Medicine) Physician services in Cedarhurst, New York. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

123 Maple Ave Ste LL
Cedarhurst, NY 11516-2240
Phone: (516) 703-3580
Fax: (516) 531-8877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X

Record details

NPI number1689330342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Brunner — President · (516) 987-9837
Other names Michelle Malkie Brunner, M.D.
NPI enumeratedNovember 16, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address359 Yale Ave, Woodmere, NY 11598-2039