Healthcare Provider Details

I. General information

NPI: 1497794747
Provider Name (Legal Business Name): STEVEN MICHAEL MCMAHON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 W 21ST ST LOWER LEVEL
NEW YORK NY
10011-3116
US

IV. Provider business mailing address

231 W 21ST ST LOWER LEVEL
NEW YORK NY
10011-3116
US

V. Phone/Fax

Practice location:
  • Phone: 212-243-6384
  • Fax: 212-243-6142
Mailing address:
  • Phone: 212-243-6384
  • Fax: 212-243-6142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberX007469
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: