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Organization
BERARDIS FAMILY CHIROPRACTIC, PC
Active
Organization
BERARDIS FAMILY CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES BERARDIS D.C. (CHIROPRACTOR/OWNER)
(914) 962-1234
Entity
Organization
Contact information
Practice address
1010 E MAIN ST, SUITE 1, SHRUB OAK, NY 10588-1534
(914) 962-1234
(914) 962-1312
Mailing address
1010 E MAIN ST, SUITE 1, SHRUB OAK, NY 10588-1534
(914) 962-1234
(914) 962-1312
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005871-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015178
GHI
NY
01
—
C05871-1
WORKER'S COMPENSATION
NY
01
—
P439476
OXFORD
NY
01
—
X35591
BC/BS
NY
Enumeration date
09/10/2008
Last updated
09/10/2008
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