Michael James Berardis in Shrub Oak - Sports Physician
Michael James Berardis - NPI 1225034564
Michael James Berardis is a Sports Physician in Shrub Oak, New York. Michael James Berardis practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Michael James Berardis is 1225034564. The last update date is 2020-09-23.
Michael James Berardis's current location address is 3671 Old Yorktown Rd, Shrub Oak, New York. You can contact this provider via phone number 9149621234 and fax number 9149621312. The mailing address for Michael James Berardis is 3671 Old Yorktown Rd, Shrub Oak, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael James Berardis |
|---|---|
| Address | 3671 Old Yorktown Rd, Shrub Oak, New York |
| Phone Number | 9149621234 |
| Fax Number | 9149621312 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1225034564 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2020-09-23 |
Provider Mailing Address Detail
| Address | 3671 Old Yorktown Rd |
|---|---|
| City | Shrub Oak |
| State | New York (NY) |
| Post Code | 105881503 |
| Phone Number | 9149621234 |
| Fax Number | 9149621312 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | X005871-1 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15178 | NY | GHI ID | |
| P439476 | NY | OXFORD ID | |
| C05871-1 | NY | WORK COMP | |
| 3I025202853 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael James Berardis?
The Michael James Berardis has been issued the NPI (National Provider Identifier) 1225034564 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Michael James Berardis's physical address?
The Michael James Berardis is physically located at 3671 Old Yorktown Rd, in the city of Shrub Oak, NY, with the postal code 105881503.
What is the Michael James Berardis's specialty and taxonomy code?
The Michael James Berardis's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225034564 to Michael James Berardis?
The Centers for Medicare & Medicaid Services originally issued the 1225034564 to Michael James Berardis on 2005-06-22.
As of what date was the information regarding Michael James Berardis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael James Berardis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-09-23.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL