| NPI | 1912363185 |
|---|---|
| Doing Business As | GARDEN CITY PTDC |
| Entity Type | Organization |
| Authorized Contact | JACK J TESORIERO Managing Member 631-242-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030587) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 004766) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-12 |