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Organization
EAST MEADOW PT FAMILY HEALTH NP ACUPUNCTURE AND CHIROPRACTIC
Active
Organization
EAST MEADOW PT FAMILY HEALTH NP ACUPUNCTURE AND CHIROPRACTIC
Active
Other names
East Meadow PTDC
Organization subpart
No
Provider details
NPI number
Authorized official
JACK JAMES TESORIERO (OWNER)
(631) 242-4500
Entity
Organization
Contact information
Practice address
2103 DEER PARK AVE, DEER PARK, NY 11729-1317
(631) 242-4500
(631) 242-0885
Mailing address
2103 DEER PARK AVE, DEER PARK, NY 11729-1317
(631) 242-4500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/17/2019
Last updated
03/30/2020
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