Provider Demographics
NPI:1962453084
Name:BARR, STEVEN N (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:N
Last Name:BARR
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 1:1800 WESTERN AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203
Mailing Address - Country:US
Mailing Address - Phone:518-456-5635
Mailing Address - Fax:518-456-5726
Practice Address - Street 1:1800 WESTERN AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203
Practice Address - Country:US
Practice Address - Phone:518-456-5635
Practice Address - Fax:518-456-5726
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0029051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY801046OtherEMPIRE
NY10000110OtherCDPHP
NY38525BMedicare ID - Type Unspecified
NY10000110OtherCDPHP