Tesoriero, Jack James

Tesoriero, Jack James is an individual health care provider with primary practice located at 2103 Deer Park Ave , Deer Park NY 11729-1319. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tesoriero, Jack James can be contacted via phone (631) 242-4500.

Contact Information

Primary practice address
2103 Deer Park Ave Deer Park NY 11729-1319
Phone: (631) 242-4500
Fax: (631) 242-0885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X004766 New York

Profile Details

NPI number 1871580282
LBN Legal business name Tesoriero, Jack James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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