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Individual
DR. MICHAEL JAMES BERARDIS
Active
Individual
DR. MICHAEL JAMES BERARDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X-005871-1
NY
111NS0005X
Sports Physician Chiropractor
X005871-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015178
GHI ID
NY
05
—
3I025202853
—
NY
01
—
C05871-1
WORK COMP
NY
01
—
P439476
OXFORD ID
NY
Enumeration date
06/22/2005
Last updated
09/23/2020
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