Organization
DEER PARK CHIROPRACTIC PC
Active
Other names
PTDC Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK J TESORIERO (PRESIDENT)
(631) 680-2166
Entity
Organization
Contact information
Practice address
2103 DEER PARK AVE STE 1, DEER PARK, NY 11729-1317
(631) 242-4500
Mailing address
2103 DEER PARK AVE STE 1, DEER PARK, NY 11729-1317
(631) 242-4500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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