Healthcare Provider Details

I. General information

NPI: 1750084323
Provider Name (Legal Business Name): NEW YORK BRAIN & SPINE SURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WESTCHESTER PARK DR
WEST HARRISON NY
10604-3497
US

IV. Provider business mailing address

12 SULGRAVE RD
SCARSDALE NY
10583-4711
US

V. Phone/Fax

Practice location:
  • Phone: 914-948-0351
  • Fax: 914-259-8313
Mailing address:
  • Phone: 914-948-0351
  • Fax: 914-259-8313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN ABRAHAMS
Title or Position: OWNER
Credential: MD
Phone: 914-948-0351