Provider Demographics
NPI:1093249799
Name:NATURAL APPROACH CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:NATURAL APPROACH CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:TESI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, DC
Authorized Official - Phone:845-642-1009
Mailing Address - Street 1:611 S MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5706
Mailing Address - Country:US
Mailing Address - Phone:845-642-1009
Mailing Address - Fax:845-639-0625
Practice Address - Street 1:13618 39TH AVE STE 706
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5583
Practice Address - Country:US
Practice Address - Phone:845-642-1009
Practice Address - Fax:845-639-0625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004644111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty