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|Exhibit 32 (a)
        Certificate pursuant to 18 U.S.C. Section 1350,as adopted pursuant to Section 906 of theSarbanes-Oxley Act of 2002
        In connection with the Quarterly Report of U.S. Neurosurgical, Inc. on Form 10-Q for the period ending March 31, 2004 as filed with the Securities and Exchange Commission on the date hereof (the Report), we, Alan Gold, President and Howard Grunfeld, Chief Financial Officer of U.S. Neurosurgical, Inc., certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:
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| | (1) | The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
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| | (2) | The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of U.S. Neurosurgical.
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|/s/ Alan Gold
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|Alan Gold
    President 
    May 12, 2005         
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|/s/ Howard Grunfeld                               
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|Howard GrunfeldChief Financial OfficerMay 12, 2005

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