Provider Demographics
NPI:1770874596
Name:HARVEY FAMILY CHIROPRACTIC, PHYSICAL THERAPY & ACUPUNCTURE PLLC
Entity type:Organization
Organization Name:HARVEY FAMILY CHIROPRACTIC, PHYSICAL THERAPY & ACUPUNCTURE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:G
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-476-8600
Mailing Address - Street 1:984 N BROADWAY
Mailing Address - Street 2:SUITE L-001
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1318
Mailing Address - Country:US
Mailing Address - Phone:914-476-8600
Mailing Address - Fax:914-476-0240
Practice Address - Street 1:984 N BROADWAY
Practice Address - Street 2:SUITE L-001
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1318
Practice Address - Country:US
Practice Address - Phone:914-476-8600
Practice Address - Fax:914-476-0240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-27
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003113171100000X
NY031626174400000X
NYX004458111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty