Deer Park Pt, Family Health Np and Chiropractic Pllc

NPI #1225666530 in Deer Park, New York

Provider Information

NPI Number: 1225666530
Entity Type: Organization
Organization Name: Deer Park Pt, Family Health Np and Chiropractic Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Mar 31, 2020
Last Updated: Mar 31, 2020

Practice Location

Address: 2103 DEER PARK AVE
City: Deer Park
State: New York
ZIP Code: 11729-1317
Phone: (631) 242-4500

Authorized Official

Name: JACK J 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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