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Organization
GARDEN CITY PT & CHIROPRACTIC PLLC
Active
Organization
GARDEN CITY PT & CHIROPRACTIC PLLC
Active
Other names
Garden City PTDC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK J TESORIERO D.C. (MANAGING MEMBER)
(631) 242-4500
Entity
Organization
Contact information
Practice address
825 E GATE BLVD, GARDEN CITY, NY 11530-2124
(631) 242-4500
(631) 242-0885
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
004766
NY
225100000X
Physical Therapist
Primary
030587
NY
Other
Enumeration date
01/04/2016
Last updated
01/12/2016
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