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Phone: 1-888-444-NYSI

Fax: 516-357-0087

Office Hours: Monday – Friday: 9AM – 5PM

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Advanced Spine and Orthopedic Care, Right Here on Long Island

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Independent and Patient-Focused

At New York Spine Institute's Commack office, patients have access to world-class spine care delivered with personal attention and compassion. As a fully independent, physician-owned practice, NYSI is free from hospital system bureaucracy or corporate healthcare limitations. Every decision we make is guided solely by what's best for you. Our independence allows us to move quickly, deliver highly individualized care, and ensure that your treatment remains focused on your needs—not institutional requirements.

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Comprehensive Spine, Orthopedic, & Neurological Care

Spinal and orthopedic conditions often require more than one specialist to achieve the best outcome. That's why NYSI Commack offers fully integrated, multi-specialty care—with orthopedic spine surgeons, neurosurgeons, pain management doctors, and physical therapists all collaborating under one roof. This team-based approach allows us to coordinate every aspect of your care, ensuring seamless communication, efficiency, and the highest standard of treatment whether you need non-surgical care or advanced spine surgery in Commack.

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Experts in Complex and Revision Spine Surgery

Complex spinal surgery requires technical mastery, years of hands-on experience, and advanced training. At NYSI Commack, our spine surgeons in Commack have performed thousands of successful procedures, including scoliosis correction, revision spine surgery, and minimally invasive spinal interventions. Patients consistently turn to our team as some of the best spine surgeons in Commack, trusting our ability to deliver expert solutions for even the most challenging cases with precision, confidence, and compassion.

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The Founder of NYSI Alexandre B. de Moura, MD, FAAOS

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Trusted by Patients and Peers

Patients know him for his empathy and confidence. Physicians refer to him for his judgment and results. Dr. de Moura has built his reputation on trust, precision, and outcomes that truly change lives.

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Early Inspiration

Dr. de Moura's path began with his father—a pioneering orthopedic surgeon whose legacy deeply shaped his passion for spinal care. From a young age, he witnessed how expert hands and compassionate care could transform lives, setting the foundation for a lifelong mission.

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World-Class Training

Dr. de Moura received elite surgical training at some of the nation's top institutions, gaining the technical skill and clinical insight needed to treat the most complex spinal conditions. His background combines academic excellence with hands-on expertise.

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Founding NYSI

In 2000, Dr. de Moura founded New York Spine Institute to bring comprehensive, multi-specialty care under one roof. His vision was clear: make world-class spine care accessible, coordinated, and deeply patient-focused.

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20+ Years of Experience

With over two decades of specialized practice, Dr. de Moura has performed thousands of procedures and guided countless patients through recovery. His deep experience allows him to deliver not just treatment—but true transformation.

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Specialist in Complex Spine Conditions

From scoliosis to spinal deformities and degenerative disorders, Dr. de Moura is known for handling the cases others refer out. He's not just a surgeon—he's a problem solver, often sought out when options feel limited.

Expertise. Experience. Life-Changing Results. Award-Winning Spine Surgery in Commack

At New York Spine Institute's Commack office, we combine expert surgical care with compassionate, patient-centered service. Every patient receives a fully personalized treatment plan, carefully developed based on their condition, lifestyle, and long-term goals. From the initial evaluation to surgery, recovery, and long-term rehabilitation, our spine surgeons in Commack provide expert care and ongoing support to help you achieve lasting results and a restored quality of life.

Dr. de Moura

Orthopedic Spinal Surgeon

Read Dr. de Moura’s Bio

Alexandre B. de Moura

Dr. Macagno

Orthopedic Spinal Surgeon

Read Dr. Macagno’s Bio

Dr. Roberts

Orthopedic Spinal Surgeon

Read Dr. Roberts’s Bio

Dr. Kuriakose

Interventional Spine and Pain Management

Read Dr. Kuriakose’s Bio

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Restoring Quality of Life for Suffolk County Patients

At NYSI Commack, patients from Suffolk County and throughout Long Island turn to us for expert treatment of a wide range of spinal, orthopedic, and neurological issues that impact daily life. Many arrive after years of living with back pain, neck pain, nerve symptoms, or unsuccessful prior surgeries. Others are navigating complex surgical decisions for the first time. No matter where you are in your journey, our team offers advanced diagnostic evaluations, clear answers, and customized solutions designed to restore comfort, function, and peace of mind.

Whether you need neurosurgery in Commack, spine surgery in Commack, or non-surgical treatment options, our multi-specialty team works together to deliver fully integrated care in one convenient location. Our mission is to restore your mobility, reduce your pain, and help you return to an active, healthy life.

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Spine

Comprehensive Care, Seamlessly Delivered Everything you need in one, coordinated place

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Spine Surgery & & Orthopedic Care

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Neurologic & Spine Care

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Pain Relief & Management

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Rehabilitation & Physical Therapy

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Second–and Final–Opinions

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In Their Own Words

“Dr. Macagno is the Best doctor! Professional and compassionate. Honest and knowledgeable. Worth every star and about 10 more!!!”

M.C.

“Please accept my sincere gratitude for helping me overcome a very serious back problem that I’d had for many years.”

J.B.

“I sing his praises everyday and I always post on social media about how amazing I am doing every year on the anniversary of my surgery.”

G.

“I worked with Dr. Macagnau and he was amazing! Extremely friendly and funny to match his knowledge and guidance with my injury.”

J.R.

“I want to thank you from my heart for all you’ve done for me at such a difficult time in my life. You are a fine physician giving to those in need.”

K.F.

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Gregg Brockington Spine Surgery Patient

“The service I’ve seen through New York Spine Institute has been exemplary.”

See Testimonial

Gregg Brockington Spine Surgery Patient

“The service I’ve seen through New York Spine Institute has been exemplary.”

See Testimonial

Gregg Brockington Spine Surgery Patient

“The service I’ve seen through New York Spine Institute has been exemplary.”

See Testimonial

Where does it hurt?

Cervical / Neck

Cervical spine disorders can produce neck pain, radiating arm pain, numbness, tingling, or weakness. Our cervical spine surgeons in Commack use advanced diagnostics and highly personalized treatment plans to relieve symptoms through conservative care or surgical intervention as needed.

  • Occipital Neuralgia
  • Cervical Spinal Myelopathy

Upper Back

Upper back pain may arise from posture problems, muscular strain, disc degeneration, or nerve compression. Our specialists in Commack thoroughly evaluate your condition and develop customized care plans that address both pain and long-term spinal health.

  • Whiplash
  • Neck Pain
  • Muscle Strain

Hand / Wrist

Hand and wrist pain can stem from repetitive motion injuries, trauma, or nerve compression disorders such as carpal tunnel syndrome. Our Commack team delivers accurate diagnoses and customized treatment plans to restore hand function and eliminate pain.

  • Arthritis
  • Carpal Tunnel
  • Wrist Injuries

Elbow

Elbow and shoulder pain can result from repetitive overuse, tendon inflammation, or nerve impingement. At NYSI Commack, we create individualized care plans to help patients regain full joint function and reduce pain.

  • Soft tissue injuries
  • Fractures
  • Work injuries
  • Frozen shoulder

Lower Back

Lower back pain is one of the most common conditions we treat. Whether caused by herniated discs, spinal stenosis, or degenerative disc disease, our Commack team offers non-surgical care and advanced lumbar spine surgery in Commack to restore mobility and relieve chronic pain.

  • Herniated Discs
  • Lower back pain
  • Muscle strain
  • Sciatica

Hip

Hip pain may be the result of joint degeneration, arthritis, labral tears, or sports injuries. Our orthopedic specialists in Commack create personalized care plans using non-surgical therapies and surgical options as needed to restore joint stability and function.

  • Hip fractures
  • Rheumatoid arthritis
  • Hip surgery
  • Muscle strains

Knee

Knee pain often stems from injuries, overuse, or degenerative joint disease. Our team in Commack offers comprehensive knee evaluations and targeted treatment solutions that help patients restore movement and reduce long-term discomfort.

  • Torn meniscus
  • Sports injuries
  • Knee arthroscopies
  • Bursitis
  • Loose body removal

Foot / Ankle

Foot and ankle pain can arise from structural abnormalities, injuries, or chronic joint problems. Our Commack team provides expert diagnosis and customized treatment to relieve pain and restore mobility while helping prevent future complications.

  • Ligament injuries
  • Arthritis
  • Soft tissue injuries
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Expert Care for Common & Complex Conditions

Solutions for Every Spine

At New York Spine Institute's Commack location, we deliver expert care for a full range of spinal conditions—from common disc problems to the most complex spinal deformities and revision cases. We treat herniated discs, spinal stenosis, scoliosis, degenerative disc disease, fractures, traumatic injuries, deformities, and failed prior surgeries. 

Many patients come to NYSI Commack after years of living with chronic pain or limited mobility. Our multi-specialty team works together to develop highly customized care plans using advanced diagnostics, cutting-edge surgical expertise, and comprehensive rehabilitation to restore function and improve long-term quality of life. With access to both expert spine surgeons and neurosurgeons in Commack, patients receive compassionate care focused on results.

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Personalized Care, Every Step Your Journey with NYSI

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Start With a Specialist’s Perspective

At your first consultation in Commack, you'll receive a full evaluation from an experienced specialist who carefully reviews your symptoms, medical history, and treatment goals.

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Building Your Personalized Treatment Plan

Following diagnostic testing and collaboration, our team will design a treatment plan tailored specifically to your needs, whether non-surgical or surgical.

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Expert Treatment From a Multi-Specialty Team

At NYSI Commack, you'll receive fully integrated care from orthopedic spine surgeons, neurosurgeons, pain management physicians, and physical therapists working together for your best outcome.

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Recovery Backed by Long-Term Support

4. Recovery Backed by Long-Term Support

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Additional Resources

In the News

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FAQ

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The Best Spine Surgery in Commack When You Need It Most

If you're struggling with back pain, neck pain, nerve symptoms, or a complex spinal condition, New York Spine Institute in Commack is here to help. Whether you need spine surgery in Commack, advanced neurosurgery in Commack, or non-surgical treatment, you'll receive expert, compassionate care from a trusted team dedicated to long-term results. Since 2000, NYSI has delivered world-class care to patients throughout Suffolk County and Long Island. Trust your care to the best spine surgeons in Commack and take your first step toward lasting relief today.

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