Individual
DR. SALVATORE A TEDESCO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 SHIFT PL, STATEN ISLAND, NY 10312-1136
(718) 948-4498
(718) 948-4498
Mailing address
17 SHIFT PL, STATEN ISLAND, NY 10312-1136
(718) 948-4498
(718) 948-4498
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
138920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00778336
—
NY
Enumeration date
06/22/2005
Last updated
11/06/2013
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