Provider Demographics
NPI:1861647729
Name:HORNEY, STEPHEN FRANCIS (MPT)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:FRANCIS
Last Name:HORNEY
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 1:326 HANCE RD
Mailing Address - Street 2:
Mailing Address - City:FAIR HAVEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07704-3151
Mailing Address - Country:US
Mailing Address - Phone:732-673-8860
Mailing Address - Fax:732-865-7649
Practice Address - Street 1:326 HANCE RD
Practice Address - Street 2:
Practice Address - City:FAIR HAVEN
Practice Address - State:NJ
Practice Address - Zip Code:07704-3151
Practice Address - Country:US
Practice Address - Phone:732-673-8860
Practice Address - Fax:732-865-7649
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028297225100000X
NJ40QA012768002251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports