JACK JAMES TESORIERO DC
NPI 1871580282
Chiropractor in Deer Park, NY

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

Active since September 30, 2005

2103 DEER PARK AVE, DEER PARK, NY 11729(631) 242-4500(631) 242-0885 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2021, Mar 30, 2020 (2 updates tracked since 2020).

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About Jack James Tesoriero Dc NPPES

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

JACK JAMES TESORIERO DC (NPI 1871580282) is an individual chiropractor in Deer Park, New York, licensed in New York (X004766) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1871580282

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJACK JAMES TESORIEROCredential: DC

Location Address2103 DEER PARK AVEDeer Park, NY 11729-1319

Mailing Address2103 Deer Park AveDeer Park, NY 11729-1319 · (631) 242-4500 · Fax (631) 242-0885

Phone(631) 242-4500

Fax(631) 242-0885

Sole ProprietorNo

Enumeration DateSeptember 30, 2005

Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration

NPPES CertifiedJuly 1, 2021

✔ NPI 1871580282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NY · X004766

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, Deer Park, NY 11729

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