Individual
DR. MICHAEL ANDREW MINARDO
Active
Individual
DR. MICHAEL ANDREW MINARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X44781
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001416
GHI
NY
01
—
0466338000
AMERIHEALTH
NY
01
—
125142
ACN
NY
01
—
MM0X09V210
BCBS
NY
01
—
P3192491
OXFORD
NY
Enumeration date
09/20/2006
Last updated
01/29/2008
Update your record
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