Kate M Clodgo (NPI# 1457770984, PAC ID# 2769792092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1457770984 |
| PAC ID by PECOS | 2769792092 |
| Professional Enrollment ID | I20151117000724 |
| Full Name | Kate M Clodgo |
| Organization Legal Name | TACKETT CHIROPRACTIC, P.C. |
| Address |
19 Homer Ave Queensbury NY 12804-2039 |
| Phone Number | 5187984322 |
| Gender | F |
| Medical School | NEW YORK CHIROPRACTIC COLLEGE |
| Graduation Year | 2014 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 6901811751 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19 Homer Ave, Queensbury, NY 12804-2039 | 5187984322 | TACKETT CHIROPRACTIC, P.C. |
| Organization Legal Name | TACKETT CHIROPRACTIC, P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen A Nichols | Chiropractic | Tackett Chiropractic, P.C. | 19 Homer Ave, Queensbury, NY 12804-2039 |
| William B Tackett | Chiropractic | Tackett Chiropractic, P.C. | 19 Homer Ave, Queensbury, NY 12804-2039 |
| Street Address |
19 HOMER AVE |
| City | QUEENSBURY |
| State | NY |
| Zip | 12804-2039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori A Millis | Psychologist, Clinical | 19 Homer Ave, Queensbury, NY 12804-2039 | |
| Ellen A Nichols | Chiropractic | Tackett Chiropractic, P.C. | 19 Homer Ave, Queensbury, NY 12804-2039 |
| William B Tackett | Chiropractic | Tackett Chiropractic, P.C. | 19 Homer Ave, Queensbury, NY 12804-2039 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marice Pappo | Psychologist, Clinical | 55 Willow Rd, Queensbury, NY 12804-1241 | |
| Kathleen Mary Emerson | Nurse Practitioner | Convenient Medical Care PC | 319 Bay Rd, Queensbury, NY 12804-1402 |
| Donald R Merrihew Jr. | General Practice | Convenient Medical Care PC | 319 Bay Rd, Queensbury, NY 12804-1402 |
| Daniel B Collins | Chiropractic | 395 Bay Rd, Queensbury, NY 12804-1405 | |
| Michael J Oleary | Chiropractic | Oleary Chiropractic Pllc | 395 Bay Rd, Queensbury, NY 12804-1405 |
| Bryan M Steele | Chiropractic | Oleary Chiropractic Pllc | 395 Bay Rd, Queensbury, NY 12804-1405 |
| Michael C Slaughter | Allergy/immunology | 536 Bay Rd, Queensbury, NY 12804-1425 | |
| Giovanna L Rovetto-dean | Clinical Social Worker | 527 Bay Rd, Suite 105, Queensbury, NY 12804-1430 | |
| James P Merrigan | Psychologist, Clinical | 551 Bay Rd, Queensbury, NY 12804-1441 | |
| Michael P Homenick | Clinical Psychologist | Psychological Associates of Northeastern New York PC | 551 Bay Rd, Queensbury, NY 12804-1441 |
| Find all physicians in zip 12804 | |||
| City | QUEENSBURY |
| Zip Code | 12804 |
| Specialty | CHIROPRACTIC |
| City + Specialty | QUEENSBURY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kate M Clodgo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.