| Port City Chiropractic, Pc | |
|
11 Fourth Ave, Oswego, NY 13126-1852 | |
| (315) 342-6151 | |
| (315) 342-8548 |
| Full Name | Port City Chiropractic, Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 11 Fourth Ave, 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 |
|---|---|---|---|
| 1871594192 | NPI | - | NPPES |
| 888021393 | Other | NY | EXCELLUS BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X005645-1 (New York) | Primary |
| Provider Name | Edward J Galvin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710191556 PECOS PAC ID: 4082661525 Enrollment ID: I20050407000784 |
| Mailing Address | Practice Location Address |
|---|---|
| Port City Chiropractic, Pc 11 Fourth Ave, Oswego, NY 13126-1852 Ph: (315) 342-6151 | Port City Chiropractic, Pc 11 Fourth Ave, Oswego, NY 13126-1852 Ph: (315) 342-6151 |
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 |