Healthcare Provider Details

I. General information

NPI: 1770874596
Provider Name (Legal Business Name): HARVEY FAMILY CHIROPRACTIC, PHYSICAL THERAPY & ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2011
Last Update Date: 04/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

984 N BROADWAY SUITE L-001
YONKERS NY
10701-1318
US

IV. Provider business mailing address

984 N BROADWAY SUITE L-001
YONKERS NY
10701-1318
US

V. Phone/Fax

Practice location:
  • Phone: 914-476-8600
  • Fax: 914-476-0240
Mailing address:
  • Phone: 914-476-8600
  • Fax: 914-476-0240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX004458
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number003113
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number031626
License Number StateNY

VIII. Authorized Official

Name: DR. RICHARD G HARVEY
Title or Position: DC
Credential: DC
Phone: 914-476-8600