Individual provider · Type 1 NPI

Jack James Tesoriero, DC

Chiropractor · Deer Park, NY

NPI number 1871580282 Active

Practice location

2103 Deer Park Ave
Deer Park, NY 11729-1319

Call (631) 242-4500 Map

Fax (631) 242-0885

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX004766 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1871580282

Jack James Tesoriero, DC's National Provider Identifier is 1871580282, issued on Sep 30, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Deer Park, NY. The record was last updated on Jul 1, 2021.