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Organization
WEST ISLIP PT & CHIROPRACTIC PLLC
Active
Organization
WEST ISLIP PT & CHIROPRACTIC PLLC
Active
Other names
West Islip PTDC
Organization subpart
No
Provider details
NPI number
Authorized official
JACK TESORIERO DC (OWNER/CHIROPRACTOR)
(844) 301-7832
Entity
Organization
Contact information
Practice address
1 JOHN ST, BABYLON, NY 11702-2939
(844) 301-7832
(631) 669-6007
Mailing address
2103 DEER PARK AVE, DEER PARK, NY 11729-1317
(631) 242-4500
(631) 242-0885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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