Individual
LIANA JULIET TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 FORT WASHINGTON AVE FL 2, NEW YORK, NY 10032-3729
(212) 305-4565
Mailing address
500 HIGHVIEW RD, ENGLEWOOD, NJ 07631-2038
(201) 207-6688
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
321433
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
05/31/2024
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