DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DP PT & CHIROPRACTIC, PLLC

MEDICARE: DP PT & CHIROPRACTIC, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor004766NY
2225100000XPhysical Therapist004142NY

General Provider Information

NPI Number : 1508251612
Entity Type Code : Organization
Provider Name (Legal Business Name) : DP PT & CHIROPRACTIC, PLLC
Provider Business Mailing Address
First Line : 2103 DEER PARK AVE
Second Line :
City : DEER PARK
State : NY
Zip : 11729-1319
Country : US
Telephone Number : 631-242-4500
Fax Number : 631-242-0885
Provider Business Practice Location Address
First Line : 2103 DEER PARK AVE
Second Line :
City : DEER PARK
State : NY
Zip : 11729-1319
Country : US
Telephone Number : 631-242-4500
Fax Number : 631-242-0885
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. JACK J TESORIERO
Credential : DC
Telephone Number : 631-242-4500
Provider Enumeration Date : 04/06/2015
Last Update Date : 07/01/2021

Similar Medicare Providers

1013917301 — DR. RON MARK M.D.
Practice Location Address:
2103 DEER PARK AVE
DEER PARK, NY
11729-1319
Practice Phone: 631-574-2060
Practice Fax:
1871580282 — JACK JAMES TESORIERO DC
Practice Location Address:
2103 DEER PARK AVE
DEER PARK, NY
11729-1319
Practice Phone: 631-242-4500
Practice Fax: 631-242-0885
1518232115 — DEER PARK MEDICAL, P.C.
Practice Location Address:
2103 DEER PARK AVE
DEER PARK, NY
11729-1319
Practice Phone: 631-242-4500
Practice Fax: 631-617-6633
1841608841 — DEER PARK PHYSICAL THERAPY AND CHIROPRACTIC PLLC
Practice Location Address:
2103 DEER PARK AVE
DEER PARK, NY
11729-1319
Practice Phone: 631-242-4500
Practice Fax: 631-242-0885
1750782256 — DEER PARK PHYSICAL THERAPY & CHIROPRACTIC
Practice Location Address:
2103 DEER PARK AVE
DEER PARK, NY
11729-1319
Practice Phone: 631-242-4500
Practice Fax: 631-242-0885
1184028201 — PAVILION RADIOLOGY PC
Practice Location Address:
2103 DEER PARK AVE
DEER PARK, NY
11729-1319
Practice Phone: 631-667-0202
Practice Fax:

Directions to “DP PT & CHIROPRACTIC, PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.