Individual
DANIELLE TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 HAWLEY AVE, STATEN ISLAND, NY 10312-3911
(347) 782-2595
Mailing address
58 HAWLEY AVE, STATEN ISLAND, NY 10312-3911
(347) 782-2595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
008830
NY
Other
Enumeration date
08/10/2012
Last updated
01/18/2023
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