| Anthony V. Licatese , Dc, P.c. | |
| 55 E Bridge St, Oswego, NY 13126-2120 | |
| (315) 342-6300 | |
| (315) 342-6302 | 
| Full Name | Anthony V. Licatese , Dc, P.c. | 
|---|---|
| Type | Facility | 
| Speciality | Chiropractor | 
| Location | 55 E Bridge St, Oswego, New York | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1740476712 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111N00000X | Chiropractor | X010996-1 (New York) | Primary | 
| Provider Name | Anthony V Licatese | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1568569630 PECOS PAC ID: 5193777225 Enrollment ID: I20050223000183 | 
| Provider Name | Beth J Dubois | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1073604450 PECOS PAC ID: 2860424793 Enrollment ID: I20050831000498 | 
| Provider Name | Ryan Anthony Kiehart | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1205424587 PECOS PAC ID: 8325452014 Enrollment ID: I20210120001194 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anthony V. Licatese , Dc, P.c. 55 E Bridge St, Oswego, NY 13126-2120 Ph: (315) 342-6300 | Anthony V. Licatese , Dc, P.c. 55 E Bridge St, Oswego, NY 13126-2120 Ph: (315) 342-6300 | 
| Dr. Beth J Dubois, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 55 E Bridge St, Oswego, NY 13126 Phone: 315-342-6300 Fax: 315-342-6302 | |
| Chase E. Izyk, Dc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 113 W Albany St, Oswego, NY 13126 Phone: 315-326-0440 Fax: 315-291-8062 | |
| Dr. Richard J. Tesoriero, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 208 Syracuse Avenue, Oswego, NY 13126 Phone: 315-343-5713 Fax: 315-343-5714 | |
| Ryan Anthony Kiehart, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 55 E Bridge St, Oswego, NY 13126 Phone: 315-342-6300 Fax: 315-342-6302 | |
| Dr. Jason Blandon Cunningham, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 89 W Bridge St, Oswego, NY 13126 Phone: 315-383-9614 | |
| Ryan D Barker Dc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 113 W Albany St, Oswego, NY 13126 Phone: 315-326-0440 Fax: 315-291-8062 | |
| Light House Family Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15 Bronson St, Oswego, NY 13126 Phone: 315-598-1187 |