Individual
DR. MICHAEL SCOTT MINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2510 WESTCHESTER AVE, SUITE 104, BRONX, NY 10461-3512
(718) 892-2022
(718) 892-2144
Mailing address
19 PARKWOOD PL, RYE BROOK, NY 10573-1022
(914) 939-2441
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
008103
NY
111NR0400X
Rehabilitation Chiropractor
008103
NY
Other
Enumeration date
04/25/2007
Last updated
09/23/2011
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