# BERARDIS FAMILY CHIROPRACTIC, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942459326
- **Authorized official:** DR. MICHAEL JAMES BERARDIS D.C. (CHIROPRACTOR/OWNER)
- **Authorized official phone:** (914) 962-1234

## Contact information

- **Practice address:** 1010 E MAIN ST, SUITE 1, SHRUB OAK, NY 10588-1534
- **Practice address phone:** (914) 962-1234
- **Practice address fax:** (914) 962-1312
- **Mailing address:** 1010 E MAIN ST, SUITE 1, SHRUB OAK, NY 10588-1534
- **Mailing address phone:** (914) 962-1234
- **Mailing address fax:** (914) 962-1312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X005871-1 | NY | Yes |

## Other

- **Enumeration date:** 09/10/2008
- **Last updated:** 09/10/2008

## 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 |