Jack James Tesoriero, DC
Chiropractor · Deer Park, NY
Practice location
2103 Deer Park AveDeer Park, NY 11729-1319
- Phone
- (631) 242-4500
- Fax
- (631) 242-0885
NPI record
- NPI
- 1871580282
- Entity type
- Individual (Type 1)
- Enumeration date
- September 30, 2005
- Last updated
- July 1, 2021
- Certified
- July 1, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
X004766 | NY |
About Dr. Tesoriero
Jack James Tesoriero, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 2103 Deer Park Ave, Deer Park, NY 11729-1319. The NPI number 1871580282 was assigned on September 30, 2005 and the record was last updated on July 1, 2021.
Dr. Tesoriero lists a license in the registry: #X004766 (NY) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jack James Tesoriero, DC?
The NPI number is 1871580282.
What is the phone number of Dr. Tesoriero?
The phone number listed for the practice location is (631) 242-4500.
Where is Dr. Tesoriero located?
2103 Deer Park Ave, Deer Park, NY 11729-1319.
What is the taxonomy code for Dr. Tesoriero?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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