Miller Place Pt, Family Health Np and Chiropractic Pllc

NPI #1588290779 in Miller Place, New York

Provider Information

NPI Number: 1588290779
Entity Type: Organization
Organization Name: Miller Place Pt, Family Health Np and Chiropractic Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Mar 19, 2020
Last Updated: Mar 19, 2020

Practice Location

Address: 41 ECHO AVE
City: Miller Place
State: New York
ZIP Code: 11764-2108
Phone: (631) 242-4500

Authorized Official

Name: DR. JACK J TESORIERO
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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