MEDICARE: DR. RICHARD L. CORDARO D.C., C.C.N

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X006053-1	NY
2	133N00000X	Nutritionist	004029-1	NY

General Provider Information

NPI Number	:	1487732681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD L. CORDARO D.C., C.C.N

Provider Business Mailing Address
First Line	:	4730 RICHARDSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10470-1023
Country	:	US
Telephone Number	:	718-325-8162
Fax Number	:	718-324-1685

Provider Business Practice Location Address
First Line	:	4730 RICHARDSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10470-1023
Country	:	US
Telephone Number	:	718-325-8162
Fax Number	:	718-324-1685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	09/11/2025

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