Dr. Michael Andrew Minardo
Chiropractic Sports Physician
55 W 19th St
New York
, New York 10011-4223
Dr. Michael Andrew Minardo
Chiropractic Sports Physician
55 W 19th St
New York
, New York 10011-4223
(212) 488-3401
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Michael Andrew Minardo
- 55 W 19th St
- New York, NY
- Zip : 10011-4223
- Fax : (212) 488-3401
- Phone : (212) 488-3400
Second Address
- Dr. Michael Andrew Minardo
- 55 W 19th St
- New York, NY
- Zip : 10011-4223
- Fax : (212) 488-3401
- Phone : (212) 488-3400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | X44781 | NY |
National Provider Identifier
| NPI | 1124126818 |
|---|---|
| Provider Name | Dr. Michael Andrew Minardo |
| First Address | New York, NY 10011-4223 |
| Second Address | New York, NY 10011-4223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 29/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0001416 | GHI (01) | NY |
| 0466338000 | AMERIHEALTH (01) | NY |
| 125142 | ACN (01) | NY |
| MM0X09V210 | BCBS (01) | NY |
| P3192491 | OXFORD (01) | NY |
| T53038 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.