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

Wyandanch PT, Family Health NP and Chiropractic PLLC

Organization Chiropractor · NPI 1003454448

Wyandanch PT, Family Health NP and Chiropractic PLLC is a Chiropractor in Wyandanch, New York. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

32 Station Dr
Wyandanch, NY 11798
Phone: (631) 242-4545
Fax: (631) 242-0885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Chiropractor Taxonomy 111N00000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1003454448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Tesoriero — Owner · (631) 242-4500
Other names Wyandanch Ptdc
NPI enumeratedDecember 17, 2019
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019
Mailing address2103 Deer Park Avenue, Deer Park, NY 11729

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