=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831149368
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEUROLOGICAL & SPINE SURGERY ASSOC., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/12/2006
-----------------------------------------------------
Last Update Date | 10/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19 BRADHURST AVE SUITE 2800
-----------------------------------------------------
City | HAWTHORNE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10532-2140
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-345-8111
-----------------------------------------------------
Fax | 914-345-3122
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 98
-----------------------------------------------------
City | HAWTHORNE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10532-0098
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-594-3510
-----------------------------------------------------
Fax | 914-594-4002
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. RAJ MURALI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 914-594-3707
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------