Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Patchogue-Medford PT & Chiropractic PLLC

Organization Chiropractor · NPI 1255703807

Patchogue-Medford PT & Chiropractic PLLC is a Chiropractor in Patchogue, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 Medford Ave
Patchogue, NY 11772-1223
Phone: (631) 617-5040
Fax: (631) 617-5559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 025310 (NY)
Chiropractor Taxonomy 111N00000X · Licence 004766 (NY)

Record details

NPI number1255703807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Tesoriero — Managing Member · (631) 617-5040
Other names Patchogue-Medford Ptdc
NPI enumeratedOctober 22, 2015
Last updated in NPPESJanuary 6, 2016
Mailing address2103 Deer Park Ave, Deer Park, NY 11729-1317

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