Individual
DR. ANTHONY VICTOR LICATESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
55 E BRIDGE ST, OSWEGO, NY 13126-2120
(315) 342-6300
(315) 342-6302
Mailing address
55 E BRIDGE ST, OSWEGO, NY 13126-2120
(315) 342-6300
(315) 342-6302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010996
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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