Provider Demographics
NPI:1053310912
Name:HORNEY, MICHAEL SHELDON (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SHELDON
Last Name:HORNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3841
Mailing Address - Country:US
Mailing Address - Phone:631-751-7700
Mailing Address - Fax:631-751-7096
Practice Address - Street 1:416 MAIN ST
Practice Address - Street 2:
Practice Address - City:SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3841
Practice Address - Country:US
Practice Address - Phone:631-751-7700
Practice Address - Fax:631-751-7096
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002824-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor