Provider Demographics
NPI:1235598400
Name:STEVEN J.N. CHIERCHIE, D.C., P.C.
Entity Type:Organization
Organization Name:STEVEN J.N. CHIERCHIE, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIERCHIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-765-5151
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:SOUTHOLD
Mailing Address - State:NY
Mailing Address - Zip Code:11971-0400
Mailing Address - Country:US
Mailing Address - Phone:631-765-5151
Mailing Address - Fax:
Practice Address - Street 1:44210 COUNTY ROAD 48
Practice Address - Street 2:
Practice Address - City:SOUTHOLD
Practice Address - State:NY
Practice Address - Zip Code:11971-5032
Practice Address - Country:US
Practice Address - Phone:631-765-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0039721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty