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DEER PARK CHIROPRACTIC PC
NPI 1194579664
Chiropractor in Deer Park, NY

Active since April 12, 2024
2103 DEER PARK AVE STE 1, DEER PARK, NY 11729(631) 242-4500 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Deer Park Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEER PARK CHIROPRACTIC PC (NPI 1194579664), doing business as Ptdc Chiropractic, is a healthcare organization registered as a chiropractor in Deer Park, New York and active in the NPI registry since April 2024. The organization lists Jack J Tesoriero, President, as its authorized official.

NPPES Registry Identity

NPI1194579664
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDEER PARK CHIROPRACTIC PC
Location Address2103 DEER PARK AVE STE 1Deer Park, NY 11729-1317
Mailing Address2103 Deer Park Ave Ste 1Deer Park, NY 11729-1317 · (631) 242-4500
Phone(631) 242-4500
Organization SubpartNo
Authorized OfficialJack J TesorieroPresident · (631) 680-2166
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1194579664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2103 DEER PARK AVE STE 1, Deer Park, NY 11729
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Other Names 1

Doing Business AsPtdc Chiropractic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BABYLON PT, FAMILY HEALTH NP AND CHIROPRACTIC PLLC
Chiropractor
2103 DEER PARK AVE STE 1
DEER PARK, NY 11729
Suffolk County (631) 680-2166
NASSAU SUFFOLK CHIROPRACTIC PC
Chiropractor
2103 DEER PARK AVE STE 1
DEER PARK, NY 11729
Suffolk County (631) 993-0099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deer Park Chiropractic PC's NPI number?

The NPI number for Deer Park Chiropractic PC is 1194579664. It was assigned to this organization in the NPPES registry on April 12, 2024. The provider is doing business as PTDC Chiropractic.

Where is Deer Park Chiropractic PC located?

Deer Park Chiropractic PC is located at 2103 Deer Park Ave Ste 1, Deer Park, NY 11729. The listed phone number is (631) 242-4500.

What is Deer Park Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Deer Park Chiropractic PC was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.