Wyandanch Pt, Family Health Np and Chiropractic Pllc

NPI #1003454448 in Wyandanch, New York

Provider Information

NPI Number: 1003454448
Entity Type: Organization
Organization Name: Wyandanch Pt, Family Health Np and Chiropractic Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Dec 17, 2019
Last Updated: Dec 17, 2019

Practice Location

Address: 32 STATION DRIVE
City: Wyandanch
State: New York
ZIP Code: 11798
Phone: (631) 242-4545

Authorized Official

Name: DR. JACK TESORIERO, DC
Title: OWNER
Phone: (631) 242-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Nurse Practitioner - Family — Family	363LF0000X
Physical Therapist	225100000X	Primary

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