Provider Demographics
NPI:1295845436
Name:STERN, HARVEY WARREN (DC)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:WARREN
Last Name:STERN
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 1:699 RIDGEBURY RD
Mailing Address - Street 2:
Mailing Address - City:SLATE HILL
Mailing Address - State:NY
Mailing Address - Zip Code:10973-4305
Mailing Address - Country:US
Mailing Address - Phone:845-355-8080
Mailing Address - Fax:845-355-8081
Practice Address - Street 1:699 RIDGEBURY RD
Practice Address - Street 2:
Practice Address - City:SLATE HILL
Practice Address - State:NY
Practice Address - Zip Code:10973-4305
Practice Address - Country:US
Practice Address - Phone:845-355-8080
Practice Address - Fax:845-355-8081
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003182111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX1871100Medicare ID - Type UnspecifiedMEDICRE