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Jack James Tesoriero, DC
Chiropractor in Deer Park, New York
NPI 1871580282

Jack James Tesoriero is a Chiropractor based in Deer Park, NY. Jack James Tesoriero practices in Deer Park, NY and has the professional credentials of DC. The NPI Number for Jack James Tesoriero is 1871580282 and holds a License No. X004766 (New York).

The current practice location address for Jack James Tesoriero is 2103 Deer Park Ave, Deer Park, NY and can be reached out via phone at 631-242-4500 and via fax at 631-242-0885.

Location: 2103 Deer Park Ave, Deer Park, NY, 11729-1319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871580282
Provider Name
Jack James Tesoriero
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2103 Deer Park Ave, Deer Park, NY, 11729-1319
Phone Number
631-242-4500
Fax Number
631-242-0885
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2103 Deer Park Ave
City
Deer Park
State
New York
Zip
11729-1319
Phone Number
631-242-4500
Fax Number
631-242-0885
person
Provider Business Mailing Address Details
Address
2103 Deer Park Ave
City
Deer Park
State
New York
Zip
11729-1319
Phone Number
631-242-4500
Fax Number
631-242-0885
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X004766 (New York)
Definition
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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