Provider Demographics
NPI:1437250024
Name:SREBNIK, STEVEN WAYNE (PT, MSPT, MS, CHT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:WAYNE
Last Name:SREBNIK
Suffix:
Gender:M
Credentials:PT, MSPT, MS, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 YONKERS AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3060
Mailing Address - Country:US
Mailing Address - Phone:914-776-7310
Mailing Address - Fax:914-776-7566
Practice Address - Street 1:955 YONKERS AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-3060
Practice Address - Country:US
Practice Address - Phone:914-776-7310
Practice Address - Fax:914-776-7566
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009728225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0030201OtherHEALTHNET / ORTHONET
NY1071044OtherAETNA HMO PLANS
NY109856700OtherDEPARTMENT OF LABOR
NY25140OtherHUDSON HEALTH PLANS
NY5419126OtherAETNA HEALTH PLANS
NY134187891OtherHORIZON HEALTH CARE
NY134187891OtherPOMCO
NY000000100991OtherGHI - HMO
NY134187891OtherMAGNACARE
NY20391POtherHIP
NY363937OtherMVP
NYWS343OtherOXFORD HEALTH PLANS
NY134187891Other1199
NYQ67541OtherEMPIRE BLUE CROSS / BLUE
NY913773OtherMPN / THE EMPIRE PLAN
NY25140OtherHUDSON HEALTH PLANS