Jack James Tesoriero, DC

NPI #1871580282 in Deer Park, New York

Provider Information

NPI Number: 1871580282
Entity Type: Individual
Name: Jack James Tesoriero, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Sep 30, 2005
Last Updated: Jul 1, 2021

Practice Location

Address: 2103 DEER PARK AVE
City: Deer Park
State: New York
ZIP Code: 11729-1319
Phone: (631) 242-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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