Provider Demographics
NPI:1598460867
Name:SPINE SURGEONSOF NEW YORK
Entity Type:Organization
Organization Name:SPINE SURGEONSOF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-567-9422
Mailing Address - Street 1:12 SULGRAVE RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-4711
Mailing Address - Country:US
Mailing Address - Phone:917-567-9422
Mailing Address - Fax:
Practice Address - Street 1:4 WESTCHESTER PARK DR
Practice Address - Street 2:
Practice Address - City:WEST HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604-3497
Practice Address - Country:US
Practice Address - Phone:917-567-9422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty