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

Jack James Tesoriero, DC

Individual provider Chiropractor · NPI 1871580282

Jack James Tesoriero, DC is a Chiropractor in Deer Park, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2103 Deer Park Ave
Deer Park, NY 11729-1319
Phone: (631) 242-4500
Fax: (631) 242-0885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence X004766 (NY)

Record details

NPI number1871580282
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021
Mailing address2103 Deer Park Ave, Deer Park, NY 11729-1319

Other providers in Deer Park