MEDICARE: STERNBERG CHIROPRACTIC, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center	X008791-1	NY

General Provider Information

NPI Number	:	1497020036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STERNBERG CHIROPRACTIC, PC

Provider Business Mailing Address
First Line	:	1534 BROADWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-4249
Country	:	US
Telephone Number	:	718-576-6266
Fax Number	:	718-576-6269

Provider Business Practice Location Address
First Line	:	1534 BROADWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-4249
Country	:	US
Telephone Number	:	718-576-6266
Fax Number	:	718-576-6269

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. RICHARD STERNBERG
Credential	:	D.C.
Telephone Number	:	631-796-1098

Provider Enumeration Date	:	03/15/2012
Last Update Date	:	03/15/2012

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