Provider Demographics
NPI:1326075748
Name:VERDIRAME, MICHAEL P (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:VERDIRAME
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4615
Mailing Address - Country:US
Mailing Address - Phone:212-772-3627
Mailing Address - Fax:212-772-3628
Practice Address - Street 1:336 E 86TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4615
Practice Address - Country:US
Practice Address - Phone:212-772-3627
Practice Address - Fax:212-772-3628
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-00604207P00000X
NY246719-1207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine