# BACK TO HEALTH MEDICINE AND DIAGNOSTICS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BACK TO HEALTH MEDICINE AND DIAGNOSTICS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386709178
- **Legal business name:** BACK TO HEALTH MEDICINE AND DIAGNOSTICS
- **Authorized official:** DR. JAY RAYMOND DECESARE DC (MANAGER)
- **Authorized official phone:** (845) 635-5002

## Contact information

- **Practice address:** 1395 ROUTE 44, PLEASANT VALLEY, NY 12569-7830
- **Practice address phone:** (845) 635-5002
- **Practice address fax:** (845) 635-5295
- **Mailing address:** PO BOX 550, PLEASANT VALLEY, NY 12569-0550
- **Mailing address phone:** (845) 635-5002
- **Mailing address fax:** (845) 635-5295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X0068561 | NY | — |
| 111N00000X | Chiropractor | X008697 | NY | Yes |
| 207YX0901X | Otology & Neurotology Physician | 147245 | NY | — |
| 225100000X | Physical Therapist | 014665-1 | NY | — |
| 225100000X | Physical Therapist | 025281-1 | NY | — |

## Other

- **Enumeration date:** 12/22/2006
- **Last updated:** 09/10/2008