Provider Demographics
NPI:1609929579
Name:SCHER, RICHARD WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WILLIAM
Last Name:SCHER
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 1:1100 WANTAGH AVE.
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2130
Mailing Address - Country:US
Mailing Address - Phone:516-785-7858
Mailing Address - Fax:516-783-6001
Practice Address - Street 1:1100 WANTAGH AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2130
Practice Address - Country:US
Practice Address - Phone:516-785-7858
Practice Address - Fax:516-783-6001
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2393111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY112741931OtherFEDERAL TAX I.D. NUMBER
NY112741931OtherFEDERAL TAX I.D. NUMBER
NYX16491Medicare UPIN