Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | X006031-1 | NY |
N | 111NI0013X | Independent Medical Examiner | X006031-1 | NY |
NPI | 1104034297 |
---|---|
Provider Name | Dr. Michael R Rano |
First Address | Binghamton, NY 13905-4712 |
Second Address | Binghamton, NY 13905-4712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CO6031-1 | WORKERS COMP PROVIDER ID (01) | NY |
CO6032-1B | WORKERS COMP IME ID (01) | NY |
U02503 | (02) | NY |