Provider Demographics
NPI:1891888392
Name:HARVEY, RICHARD G (DC)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:G
Last Name:HARVEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 N BROADWAY
Mailing Address - Street 2:STE L09
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 1:944 NORTH BROADWAY
Practice Address - Street 2:SUITE G-04
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-476-8600
Practice Address - Fax:914-476-0240
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX04458111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX24371Medicare ID - Type UnspecifiedMEDICARE NUMBER