Provider Demographics
NPI:1346344074
Name:SCHERER, PHILLIP WARREN JR (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:WARREN
Last Name:SCHERER
Suffix:JR
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:PO BOX 280-044
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228
Mailing Address - Country:US
Mailing Address - Phone:718-238-1500
Mailing Address - Fax:718-236-6294
Practice Address - Street 1:1279 79TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-2707
Practice Address - Country:US
Practice Address - Phone:718-238-1500
Practice Address - Fax:718-236-6294
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYXOOO6800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX49071Medicare ID - Type Unspecified