Provider Demographics
NPI:1104034297
Name:RANO, MICHAEL R (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:RANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38-42 FRONT ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-4712
Mailing Address - Country:US
Mailing Address - Phone:607-722-8431
Mailing Address - Fax:607-722-8431
Practice Address - Street 1:38-42 FRONT ST
Practice Address - Street 2:SUITE F
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-4712
Practice Address - Country:US
Practice Address - Phone:607-722-8431
Practice Address - Fax:607-722-8431
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006031-1111N00000X, 111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO6031-1OtherWORKERS COMP PROVIDER ID
NYCO6032-1BOtherWORKERS COMP IME ID
NYCO6031-1OtherWORKERS COMP PROVIDER ID
NYCO6032-1BOtherWORKERS COMP IME ID
NYU02503Medicare UPIN