Provider Demographics
NPI:1831149368
Name:NEUROLOGICAL & SPINE SURGERY ASSOC., P.C.
Entity type:Organization
Organization Name:NEUROLOGICAL & SPINE SURGERY ASSOC., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:MURALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-594-3707
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-0098
Mailing Address - Country:US
Mailing Address - Phone:914-594-3510
Mailing Address - Fax:914-594-4002
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:SUITE 2800
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-345-8111
Practice Address - Fax:914-345-3122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02061645Medicaid
NY02061645Medicaid