Individual
DANA MARIE TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 705-2525
Mailing address
1308 MILL RD, RONKONKOMA, NY 11779-1402
(516) 697-4400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/04/2019
Last updated
12/20/2022
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