DR. RICHARD J. TESORIERO (NPI# 1174615603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174615603 |
| Entity Type | Individual |
| Full Name | DR. RICHARD J. TESORIERO |
| Credential | DC |
| Practice Address |
208 Syracuse Avenue Oswego NY 13126 |
| Practice Telephone | 3153435713 |
| Practice Fax Number | 3153435714 |
| Mailing Telephone | 3153435713 |
| Mailing Fax Number | 3153435714 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X002605-1 | NY | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 02605-6 | NY | Chiropractic Providers |
| Street Address |
208 SYRACUSE AVENUE |
| City | OSWEGO |
| State | NY |
| Zip Code | 13126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
| 1023651742 | Jessica Lynn Metzger | Physician Assistant | 300 Ny-104 Suite 1, Oswego, NY 13126 | 2019-10-25 |
| 1245887009 | Maureen Adams | Technician | 30 Stone Ridge Drive, Oswego, NY 13126 | 2019-08-26 |
| 1285128314 | Justin Raymond Beebe | Nurse Practitioner | 300 State Route 104 Ste 2, Oswego, NY 13126 | 2018-06-21 |
| 1801311220 | Lynne M Wallace | Registered Nurse | 29 Birch Lane 17b, Oswego, NY 13126 | 2017-08-07 |
| 1497203962 | Lindsay Cheslock | Local Education Agency (LEA) | 529 County Route 25, Oswego, NY 13126 | 2016-09-14 |
| 1942757919 | Aimee Devinny | Registered Nurse | 21 Twin Orchard Drive, Oswego, NY 13126 | 2016-09-07 |
| 1083160295 | Cameron Delmotte | Specialist | 159 West Frist Street, Oswego, NY 13126 | 2016-08-28 |
| 1508319187 | Samantha Thayer | Occupational Therapist | 159 West First Oswego St, Oswego, NY 13126 | 2016-07-29 |
| 1104279595 | Vikram Jala | Internal Medicine | 105 County Route 45a Ste 400, Oswego, NY 13126 | 2016-07-20 |
| Find all providers in zip 13126 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063928257 | Anenglish Inc | Chiropractor | 83 Templeton Dr Ste C, Oswego, IL 60543-7022 | 2017-12-26 |
| 1902353337 | Brandon Thomas Polaskey | Chiropractor | 39 Stonehill Rd Ste E, Oswego, IL 60543-9945 | 2016-09-01 |
| 1790179976 | Balanced Body Chiropractic LLC | Chiropractor | 1231 Farmington Lakes Dr, Suite 101, Oswego, IL 60543-5109 | 2015-03-25 |
| 1801142690 | Brittany Louise Bullard | Chiropractor | 227 West Lake Road, Oswego, NY 13126-2259 | 2012-07-30 |
| 1487950416 | Bridget Mccabe | Chiropractor | 233 Thompson Rd, Oswego, NY 13126-6041 | 2011-02-09 |
| 1588969208 | Fox Valley Care Clinic Ltd | Chiropractor | 2677 Us Highway 34, Suite C, Oswego, IL 60543-8577 | 2011-01-12 |
| 1912239302 | Ryan Dale Barker | Chiropractor | 55 East Bridge Street, Oswego, NY 13126-2120 | 2010-02-09 |
| 1356672190 | Jenna Marie Boazzo Glenn | Chiropractor | 39a Stonehill Rd, Oswego, IL 60543-9449 | 2010-01-19 |
| 1649402918 | Chiro One Wellness Center of Oswego LLC | Chiropractor | 2281 Orchard Rd., Oswego, IL 60543 | 2009-08-19 |
| 1588855449 | Casey Thomas Mccaffrey | Chiropractor | 184 W 4th St, Apt # 1, Oswego, NY 13126-3011 | 2007-08-06 |
| Find all providers in OSWEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.