Individual
MR. DAVID JAMES TISEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3 SUMMIT DR, SMITHTOWN, NY 11787-5151
(516) 659-0796
Mailing address
3 SUMMIT DR, SMITHTOWN, NY 11787-5151
(516) 659-0796
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00425701
NY
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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