Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central New York Brain & Spine Neurosurgery PLLC

Organization Neurological Surgery Physician · NPI 1174039929

Central New York Brain & Spine Neurosurgery PLLC is a Neurological Surgery Physician in New Hartford, New York. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

83 Genesee St
New Hartford, NY 13413-2472
Phone: (315) 792-7629
Fax: (315) 792-3617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1174039929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Qandah — Owner · (248) 767-2223
NPI enumeratedDecember 15, 2017
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address83 Genesee St, New Hartford, NY 13413-2472

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