Individual
DAVID A TECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 483-6217
(845) 483-6108
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006928
NY
363AS0400X
Surgical Physician Assistant
005015
CT
363AS0400X
Surgical Physician Assistant
Primary
006928
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01929299
—
NY
Enumeration date
06/02/2006
Last updated
03/23/2021
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