Provider Demographics
NPI:1760555056
Name:MICHAEL L BARD DC PC
Entity Type:Organization
Organization Name:MICHAEL L BARD DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-722-0982
Mailing Address - Street 1:531 CENTRAL PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1000
Mailing Address - Country:US
Mailing Address - Phone:914-722-0982
Mailing Address - Fax:914-722-1763
Practice Address - Street 1:531 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1000
Practice Address - Country:US
Practice Address - Phone:914-722-0982
Practice Address - Fax:914-722-1763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty