Individual
LARISSA A. TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 WESTCHESTER AVE, SUITE 102, WHITE PLAINS, NY 10604-2906
(914) 946-1010
(914) 946-1025
Mailing address
2408 WHITNEY AVE, HAMDEN, CT 06518-3209
(203) 626-0160
(203) 294-6734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010822-1
NY
363A00000X
Physician Assistant
1688
CT
363AS0400X
Surgical Physician Assistant
Primary
1688
CT
Other
Enumeration date
09/15/2008
Last updated
08/05/2025
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