Organization
ANTHONY V. LICATESE , DC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY VICTOR LICATESE D.C. (PRESIDENT)
(315) 342-6300
Entity
Organization
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
X010996-1
NY
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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