Patchogue-Medford Pt & Chiropractic Pllc

NPI #1255703807 in Patchogue, New York

Provider Information

NPI Number: 1255703807
Entity Type: Organization
Organization Name: Patchogue-Medford Pt & Chiropractic Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Oct 22, 2015
Last Updated: Jan 6, 2016

Practice Location

Address: 105 MEDFORD AVE
City: Patchogue
State: New York
ZIP Code: 11772-1223
Phone: (631) 617-5040

Authorized Official

Name: DR. JACK TESORIERO, DC
Title: MANAGING MEMBER
Phone: (631) 617-5040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physical Therapist	225100000X	Primary

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