Individual
DR. THOMAS JOSEPH TESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., D.C.
Contact information
Practice address
4120 BROADWAY, NEW YORK, NY 10033-3703
(212) 568-7403
Mailing address
611 S MOUNTAIN RD, NEW CITY, NY 10956-5706
(845) 634-8961
(845) 639-0625
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X004644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X004644
NY STATE LICENSE NUMBER
NY
Enumeration date
10/24/2006
Last updated
07/09/2007
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