| NPI | 1235614132 |
|---|---|
| Doing Business As | EAST MEADOW PTDC |
| Entity Type | Organization |
| Authorized Contact | JACK TESORIERO Owner 631-680-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| 111N00000X Chiropractor | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |