Individual
BROOKE TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 JAGGER CT, MELVILLE, NY 11747-3299
(516) 449-1441
Mailing address
25 STRATHMORE RD, GREAT NECK, NY 11023-1035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
052791
NY
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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