Patchogue-Medford Ptdc

LBN: Patchogue-Medford Pt & Chiropractic Pllc
Patchogue-Medford Ptdc is an health care organization with primary practice located at 105 Medford Ave , Patchogue NY 11772-1223. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Patchogue-Medford Pt & Chiropractic Pllc can be contacted via phone (631) 617-5040, or through Tesoriero, Jack via phone (631) 617-5040.

Contact Information

Primary practice address
105 Medford Ave Patchogue NY 11772-1223
Phone: (631) 617-5040
Fax: (631) 617-5559
Website:
Map and Directions
Authorized official contact:
Name: Tesoriero, Jack Doctor of Chiropractic (DC)
Phone: (631) 617-5040

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 004766 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 025310 New York

Profile Details

NPI number 1255703807
LBN Legal business name Patchogue-Medford Pt & Chiropractic Pllc
DBA Doing business as Patchogue-Medford Ptdc
Authorized official Tesoriero, Jack Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2015
Last updated Jan 6th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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