Individual provider · Type 1 NPI
Ricky Sam Cavallaro, DC
Chiropractor · Syracuse, NY
NPI number
1295809671
Active
Practice location
100 Osceola Pl
Syracuse, NY 13209-1229
Fax (315) 487-1110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X006530 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1295809671
Ricky Sam Cavallaro, DC's National Provider Identifier is 1295809671, issued on Nov 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Syracuse, NY. The record was last updated on May 23, 2011.