| Dr Michael Andrew Minardo, DC | |
|
55 W 19th St, New York, NY 10011-4223 | |
| (212) 488-3400 | |
| (212) 488-3401 |
| Full Name | Dr Michael Andrew Minardo |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Sports Physician |
| Location | 55 W 19th St, New York, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124126818 | NPI | - | NPPES |
| MM0X09V210 | Other | NY | BCBS |
| P3192491 | Other | NY | OXFORD |
| 0001416 | Other | NY | GHI |
| 125142 | Other | NY | ACN |
| 0466338000 | Other | NY | AMERIHEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | X44781 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Andrew Minardo, DC 55 W 19th St, New York, NY 10011-4223 Ph: (212) 488-3400 | Dr Michael Andrew Minardo, DC 55 W 19th St, New York, NY 10011-4223 Ph: (212) 488-3400 |
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