Provider Demographics
NPI:1851448054
Name:MCCUNE, STEVEN JAMES (MPT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:JAMES
Last Name:MCCUNE
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 JOCKEY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3508
Mailing Address - Country:US
Mailing Address - Phone:845-215-9061
Mailing Address - Fax:
Practice Address - Street 1:135 ERIE ST E
Practice Address - Street 2:SUITE 6
Practice Address - City:BLAUVELT
Practice Address - State:NY
Practice Address - Zip Code:10913-1823
Practice Address - Country:US
Practice Address - Phone:845-680-2673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018483-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ01U01Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER