Provider Demographics
NPI:1073661765
Name:WESTCHESTER SPINE AND BRAIN SURGERY PLLC
Entity Type:Organization
Organization Name:WESTCHESTER SPINE AND BRAIN SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE/BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-332-0396
Mailing Address - Street 1:PO BOX 957
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-0957
Mailing Address - Country:US
Mailing Address - Phone:914-332-0396
Mailing Address - Fax:914-468-8895
Practice Address - Street 1:280 N CENTRAL AVE
Practice Address - Street 2:SUITE 235
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1832
Practice Address - Country:US
Practice Address - Phone:914-332-0396
Practice Address - Fax:914-468-8895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWCW451OtherMEDICARE PTAN