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WEST ISLIP PT & CHIROPRACTIC PLLC

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Company Details

Name: WEST ISLIP PT & CHIROPRACTIC PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 03 Aug 2017 (8 years ago)
Entity Number: 5180701
ZIP code: 11729
County: Suffolk
Place of Formation: New York
Address: 2103 DEER PARK AVENUE, DEER PARK, NY, United States, 11729

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2103 DEER PARK AVENUE, DEER PARK, NY, United States, 11729

National Provider Identifier

NPI Number:
1710414636

Authorized Person:

Name:
JACK TESORIERO
Role:
OWNER/CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
6312420885
Fax:
6316696007

Filings

Filing Number Date Filed Type Effective Date
170803000320 2017-08-03 ARTICLES OF ORGANIZATION 2017-08-03

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State