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Dr. Randy Russell Stephan, DC
Chiropractor in New York, New York
NPI 1023185550

Randy Russell Stephan is a Chiropractor based in New York, NY. Randy Russell Stephan practices in New York, NY and has the professional credentials of DC. The NPI Number for Randy Russell Stephan is 1023185550 and holds a License No. X008751 (New York).

The current practice location address for Randy Russell Stephan is 291 Broadway, New York, NY and can be reached out via phone at 212-962-2262 and via fax at 212-962-7472.

Location: 291 Broadway, New York, NY, 10007-1814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023185550
Provider Name
Randy Russell Stephan
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
291 Broadway, New York, NY, 10007-1814
Phone Number
212-962-2262
Fax Number
212-962-7472
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
291 Broadway
City
New York
State
New York
Zip
10007-1814
Phone Number
212-962-2262
Fax Number
212-962-7472
person
Provider Business Mailing Address Details
Address
291 Broadway
City
New York
State
New York
Zip
10007-1814
Phone Number
212-962-2262
Fax Number
212-962-7472
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X008751 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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