# NASSAU SUFFOLK CHIROPRACTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730036138
- **Authorized official:** DR. JACK TESORIERO DC (OWNER/CHIROPRACTOR)
- **Authorized official phone:** (631) 993-0099

## Contact information

- **Practice address:** 2103 DEER PARK AVE STE 1, DEER PARK, NY 11729-1317
- **Practice address phone:** (631) 993-0099
- **Practice address fax:** (631) 378-3060
- **Mailing address:** 2103 DEER PARK AVE STE 1, DEER PARK, NY 11729-1317
- **Mailing address phone:** (631) 993-0099
- **Mailing address fax:** (631) 378-3060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2026
- **Last updated:** 03/13/2026