Provider Demographics
NPI:1689792434
Name:BRAIN & SPINE SURGEONS OF NEW YORK
Entity Type:Organization
Organization Name:BRAIN & SPINE SURGEONS OF NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-948-7400
Mailing Address - Street 1:21 EDGEMONT CIR
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2615
Mailing Address - Country:US
Mailing Address - Phone:917-207-7323
Mailing Address - Fax:
Practice Address - Street 1:244 WESTCHESTER AVE
Practice Address - Street 2:SUITE 312
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2907
Practice Address - Country:US
Practice Address - Phone:914-948-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234074174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty