Berardis, Michael James

Berardis, Michael James is an sole proprietor health care provider with primary practice located at 3671 Old Yorktown Rd , Shrub Oak NY 10588-1503. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Berardis, Michael James can be contacted via phone (914) 962-1234.

Contact Information

Primary practice address
3671 Old Yorktown Rd Shrub Oak NY 10588-1503
Phone: (914) 962-1234
Fax: (914) 962-1312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X X005871-1 New York
Chiropractic Providers / Chiropractor 111N00000X X-005871-1 New York

Profile Details

NPI number 1225034564
LBN Legal business name Berardis, Michael James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Sep 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225034564 NPPES
New York Other 0015178 GHI ID
New York Other P439476 GHI ID
New York Other C05871-1 GHI ID
New York MEDICAID 3I025202853 GHI ID

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