Dr. Ricky Sam Cavallaro Family Chiropractor PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006530 Issued in NY

Legal business name

DR. RICKY SAM CAVALLARO FAMILY CHIROPRACTOR PLLC

Practice address

100 Osceola PL.
Syracuse, NY 13209-1242

Phone

(315) 487-5200

Fax

(315) 487-1110

NPI assigned

Jun 17, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ricky Cavallaro, DC

Title

President

Phone

(315) 487-5200

Specialties & licenses 1

Addresses

Other names 1

• Cavallaro Family Chiropractic Doing business as

Tax ID family

Cavallaro Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Ricky Sam Cavallaro Family Chiropractor PLLC

  • Chiropractor
  • Syracuse, NY
  • NPI 1972259653
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1649565664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OSCEOLA PL.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091242",
            "telephone_number": "315-487-5200",
            "fax_number": "315-487-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OSCEOLA PL.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091242",
            "telephone_number": "315-487-5200",
            "fax_number": "315-487-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICKY SAM CAVALLARO FAMILY CHIROPRACTOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "CAVALLARO",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-487-5200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cavallaro Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.