Provider Demographics
NPI:1992921407
Name:BRAIN & SPINE SURGEONS OF NEW YORK PC
Entity type:Organization
Organization Name:BRAIN & SPINE SURGEONS OF NEW YORK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:TOBIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-948-8448
Mailing Address - Street 1:4 WESTCHESTER PARK DR FL 4
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-3434
Mailing Address - Country:US
Mailing Address - Phone:914-948-8448
Mailing Address - Fax:914-686-5478
Practice Address - Street 1:4 WESTCHESTER PARK DR FL 4
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3434
Practice Address - Country:US
Practice Address - Phone:914-948-8448
Practice Address - Fax:914-686-5478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYW4L811Medicare PIN