New York Spine Institute Spine Services

Spine and Orthopedic Surgeons in Smithtown, NY


Comprehensive care for spine surgery, scoliosis treatment, back pain treatment & physical therapy


Here at the NYSI, our certified spine specialists and back doctors deliver comprehensive care and treatment to all of our patients throughout the greater New York area including those in Smithtown.  Our doctors have decades of knowledge and experience treating individuals of all ages who experience constant back and neck pain disorders. Our highly educated spine doctors and neck specialists strive to help with the overall improvement and recovery of all our patients’ health.

New York Spine Institute 

Office Address: 312 Commack Rd, Commack NY 11725

Phone: 1-888-444-6974

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

Quality Care

We provide personalized care and treatment including conservative physical therapy, pain management, advanced spinal treatments and even mild or advanced surgeries to patients of all ages.

Industry Leaders

Our team is led by our medical director, Alexandre B. de Moura, M.D., FAAOS, and has been recognized as industry leaders in the care and treatment of complex spine disorders.

Multiple Languages 

Our multilingual staff that speaks Spanish, Portuguese, French, Italian, German, and Russian strive to deliver our specialized services to patients all across the globe


There are a number of various conditions that can cause both back pain and neck pain disorders including fractures, herniated discs, and diseased discs, to infections of all types.  Our spine doctors take pride in administering customized back pain treatment plans to our Smithtown clients and strive to identify problems and get to the root of your back or neck pain.   They offer patients comprehensive treatment plans that help to get them back on their feet again.*

Dedicated back doctors, neck specialists and neck surgeons are focused on delivering pain treatment methods to patients that are least invasive.  Our doctors reserve any type of spine surgery for patients who, after undergoing previous treatment options, are still experiencing severe pain as a result of pinched nerves, spinal cord compression, or mechanical instability of the spinal cord.

Types of Spinal Surgeries we offer our Smithtown patients:

With their years of experience and advanced training in bone and neurological spinal disorders, our spine doctors and back specialists have served thousands of neck pain and back pain patients in the greater New York City area who are in need of surgical intervention.  They strive to identify the ultimate source of patients’ ongoing pain.*

Dr. Alexandre de Moura - NY Spine Institute - Long Island spine surgeon, manhattan back surgeon


Cervical Lumbar Spine Specialist, Medical Director
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Here at the NYSI we are aware that scoliosis affects millions of people in the United States.  Scoliosis which is a side to side curvature of the spine, unlike the natural front to back curves of the spine, affects individuals of all ages.  When small insignificant curves are present they typically do not cause any serious issues. However, when larger curves in the spine are present they will typically contribute to a wide range of health issues, which may include but are not limited to, fatigue, muscle pain, back pain, spinal arthritis, or even breathing issues.

 At the NYSI, our spine and back specialists treat many types of scoliosis, including both degenerative and common idiopathic scoliosis.  As a result of our specialized comprehensive approach to treating this debilitating disease, our team of doctors has been recognized as one of the best all round treatment centers for scoliosis in the U.S.   We understand that scoliosis affects patients of all ages and that our personalized treatment plans can benefit our many patients. *

 Treatment for scoliosis is dependent upon the severity of your spine’s curvature. Advanced scoliosis cases may require back surgeons located at our nationally ranked NYU Hospital for Joint Diseases,* to render surgical procedures for some patients.  Educated lectures on scoliosis are delivered worldwide by our back surgeons who have also authored many scoliosis treatment publications as well. For more details, refer to our Spine 101 section.

Dr. Angel Macagno


Cervical, Lumbar, Adult & Pediatric Scoliosis and Spinal Deformity Specialist
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The back doctors here at New York Spine Institute and our certified spine specialists understand the overall complexities of the spine and are committed to providing personalized back pain or neck pain treatments for patients of all ages.  Patients must first undergo an initial thorough exam to help doctors identify the source of their pain. Doctors will follow up by determining the extent of your pain and gathering all the pertinent info they need to present a full diagnosis in advance of prescribing treatment options. 

 Physicians will focus on your described symptoms and test results gathered when making their diagnosis. There are a number of factors that play a significant role in prescribing appropriate treatment options that can vary from bracing to surgical intervention for all our Smithtown patients, but our spine doctors prefer non-surgical back pain treatment methods.     


All of the neck and back specialists here at the NYSI are highly trained in the newest technologies, medical diagnostics and a variety of medical treatment methods that are affiliated with back and neck pain related issues. 

 We offer our Smithtown patients treatment options, which include:• Injection therapies• Radiofrequency procedures• Spinal cord stimulation• Intrathecal device implementation• State-of-the-art fluoroscopy and endoscopy for great accuracy and precision• Ketamine infusion therapy for treatment of neuropathic pain syndromes such as CRPS.

Spinal Conditions we can help treat include:


Surgeries of all types, whether mildly invasive or advanced surgery, require physical therapy as part of a patient’s rehabilitation process.  Back or neck surgery patients who follow a physical therapy regimen can experience increased movement and mobility, decreased pain and restored function, and for those patients with injuries and impairments, their disability levels may very well be limited * when they add physical therapy to their personalized treatment plan.  Patients benefit from physical therapy, especially those who have daily lifestyles that tend to put additional strain on their necks or backs.     

 Here at the NYSI Michael Friar, D.P.T., who is our licensed physical therapist, is dedicated to working one on one with patients and to providing personalized physical therapy treatments to all our Smithtown patients.  His team of physical therapy specialists provide instruction on proper stretching, exercise, and manual therapy and educate all our Smithtown patients on the importance of body mechanics, postural awareness, and exercises that they should perform at home in their efforts to avoid further injury.    

 The PT team when prescribing personalized physical therapy regimens, combines both cardio and weight machines to target strength and endurance training for all our Smithtown patients.  Before beginning a PT regimen, however, patients must be evaluated by one of our licensed physical therapists who will determine pain thresholds, existing functioning levels, and physical restrictions.  Michael Friar, D.P.T. along with our certified team of PT specialists, work together in creating and prescribing a customized treatment plan for you and will set practical goals for you to achieve.    


Physical Therapist
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A fully equipped radiology department here at the NYSI, that includes Magnetic Resonance Imaging (MRI) which is safe and noninvasive and is used for diagnosing a wide range of conditions provides doctors with the resources and tools they need to perform accurate diagnoses.  Diagnostics allow radiologists to analyze bone and soft tissue anatomy images when creating a personalized care and treatment plan. 

The innovative diagnostic imaging equipment includes: Digital Radiography (DX) x-rays and a high field short bore 1.5T MRI system that supports a wide range of clinical applications including but not limited to MRI’s of the Spine, Brain, Abdomen, Pelvis, Shoulder, Knee, Hip, Elbow, Wrist, Hand, Ankle and Foot.*  

The innovative 1.5T MRI system provides our physicians with high quality, detailed pictures they use when evaluating many different musculoskeletal disorders.  The MRI system produces detailed images by using magnetism and radio waves. The images produced are then used by our spine doctors and other physicians to evaluate various parts of the body and determine the presence of diseases or disorders.  The MRI system is far more effective than typical x-rays, ultrasounds or CT (Computed Tomography).*

Our spine surgeons and dedicated neck doctors want all our Smithtown patients to feel comfortable at our facility.  We provide a truly relaxing and calming environment and offer patients a choice of music, earplugs and even a comfortable sleeping mask that helps them to feel completely at home.    

We are also equipped with state of the art Long Length Imaging (LLI) for proper scoliosis assessments.

 *The effectiveness of diagnosis and treatment will vary by patient and condition. New York Spine Institute does not guarantee certain results.


MRI Technologist
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The dedicated team of professionals here at the NYSI are steadfast in delivering personalized back pain and neck pain treatment plans for all our Smithtown patients.  Our clinic is recognized in New York City as one of the most trusted and respected spine surgery practices with a team that strives to prescribe comprehensive care and treatment plans for all our patients.  To learn more about the NYSI or for more information on our team of certified physicians, contact one of our spine specialists today. If you are in need of back pain treatment or neck pain treatment, then surely you have come to the right place.  The team here at the NYSI is sure to help get you back onto the road to recovery and get your life back on track again.  

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