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Organization
MILLER PLACE PT, FAMILY HEALTH NP AND CHIROPRACTIC PLLC
Active
Organization
MILLER PLACE PT, FAMILY HEALTH NP AND CHIROPRACTIC PLLC
Active
Other names
Miller Place PTDC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK J TESORIERO (OWNER)
(631) 242-4500
Entity
Organization
Contact information
Practice address
41 ECHO AVE, MILLER PLACE, NY 11764-2108
(631) 242-4500
(631) 242-0885
Mailing address
2103 DEER PARK AVE, DEER PARK, NY 11729-1317
(631) 680-2166
(631) 242-4500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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