Doctor Name: | DR. MICHAEL JOSEPH BARDWELL |
NPI Number: | 1851446652 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 001053 |
Business Practice Address: | 3000 Westchester Avenue Suite 203 Purchase, NY - 10577 |
Business Phone Number: | 9149390101 |
Business Fax Number: | 9149397755 |
Mailing Address: | 3000 Westchester Avenue, Suite 203 PURCHASE |
State: | NY |
Postal Code: | 10577 |
Phone Number: | 9149390101 |
Fax Number: | 9149397755 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 001053 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |