Individual
DR. MICHAEL ANDREW MINARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
55 W 19TH ST, NEW YORK, NY 10011-4223
(212) 488-3400
(212) 488-3401
Mailing address
55 W 19TH ST, NEW YORK, NY 10011-4223
(212) 488-3400
(212) 488-3401
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
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