Healthcare Provider Details

I. General information

NPI: 1598460867
Provider Name (Legal Business Name): SPINE SURGEONS OF NEW YORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 WESTCHESTER AVE STE 209
WHITE PLAINS NY
10604-2922
US

IV. Provider business mailing address

244 WESTCHESTER AVE STE 209
WHITE PLAINS NY
10604-2922
US

V. Phone/Fax

Practice location:
  • Phone: 917-567-9422
  • Fax: 914-992-7401
Mailing address:
  • Phone: 917-567-9422
  • Fax: 914-992-7401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOHN MICHAEL ABRAHAMS
Title or Position: OWNER
Credential: MD
Phone: 917-567-9422