Connetquot Pt & Chiropractic Pllc

NPI #1467980771 in Ronkonkoma, New York

Provider Information

NPI Number: 1467980771
Entity Type: Organization
Organization Name: Connetquot Pt & Chiropractic Pllc
Primary Specialty: Physical Therapist
Enumeration Date: May 31, 2017
Last Updated: May 31, 2017

Practice Location

Address: 2805 VETERANS HWY
City: Ronkonkoma
State: New York
ZIP Code: 11779-7647
Phone: (631) 738-9539

Authorized Official

Name: JACK TESORIERO
Title: OWNER/CHIROPRACTOR
Phone: (631) 738-9539

Specialties & Taxonomy Codes

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

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