Provider Demographics
NPI:1316946296
Name:SCHRAM, STEVEN BRETT (DC LAC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRETT
Last Name:SCHRAM
Suffix:
Gender:M
Credentials:DC LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 E 28TH ST
Mailing Address - Street 2:1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8114
Mailing Address - Country:US
Mailing Address - Phone:212-696-4426
Mailing Address - Fax:
Practice Address - Street 1:140 E 28TH ST
Practice Address - Street 2:1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8114
Practice Address - Country:US
Practice Address - Phone:212-696-4426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX22121Medicare ID - Type UnspecifiedMEDICARE ID