Basic Information
| Provider Information | |||||||||
| NPI: | 1326075748 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VERDIRAME | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 336 E 86TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100284615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127723627 | ||||||||
| FaxNumber: | 2127723628 | ||||||||
| Practice Location | |||||||||
| Address1: | 336 E 86TH ST | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100284615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127723627 | ||||||||
| FaxNumber: | 2127723628 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2006 | ||||||||
| LastUpdateDate: | 04/15/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 2006-00604 | NC | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 246719-1 | NY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.