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Individual
DR. WILLIAM A TEDESCO
Active
Individual
DR. WILLIAM A TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
095746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051341
GHI-HMO
NY
01
—
0002090
UNIVERA
NY
01
—
000401447001
BLUE SHIELD NENY
NY
01
—
002120070050
FIDELIS
NY
05
—
00360976
—
NY
01
—
08178
MVP
NY
01
—
10002028
CDPHP
NY
01
—
10507494
CAQH
NY
01
—
496541
BLUE CROSS BLUE SHIELD
NY
01
—
5456200
AETNA
NY
01
—
CD1981
RAILROAD MEDICARE GROUP #
NY
Enumeration date
11/21/2005
Last updated
02/13/2008
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