Provider Demographics
NPI:1346989746
Name:PRIME NEURO SPINE INSTITUTE CORP
Entity Type:Organization
Organization Name:PRIME NEURO SPINE INSTITUTE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHID
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-276-9413
Mailing Address - Street 1:20 HOBART AVE
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2029
Mailing Address - Country:US
Mailing Address - Phone:321-276-9413
Mailing Address - Fax:
Practice Address - Street 1:20 HOBART AVE
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2029
Practice Address - Country:US
Practice Address - Phone:321-276-9413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty