DANA MARIE TEDESCO


Address: 403 Kissel Ave, Staten Island, NY 10301-2600
Phone: 9177161634

DANA MARIE TEDESCO (NPI# 1518574078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518574078
Entity Type Individual
Full Name DANA MARIE TEDESCO
Credential PHYSICIAN ASSISTANT
Practice Address 403 Kissel Ave
Staten Island
NY 10301-2600
Practice Telephone 9177161634
Mailing Telephone 9177161634
Enumeration Date 2020-09-29
Last Update Date 2020-09-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 403 KISSEL AVE
City STATEN ISLAND
State NY
Zip Code 10301-2600

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1710404850 Physical Therapy Unlimited Preferred Provider Organization 684 Ocean Terrace, Staten Island, NY 10301 2017-08-29
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1679016372 Amelia Rella Speech-Language Pathologist 60 Foote Ave, Staten Island, NY 10301 2016-11-29
1457714958 Philip Kaplan Dentist 155 Bay Street, Unit C3, Staten Island, NY 10301 2016-04-01
1104284777 Marie G Joseph Social Worker 2381 Hyland Blvd, Staten Island, NY 10301 2016-02-10
1700262565 Courtney Pryor Speech-Language Pathologist 57 Westbury Avenue, Staten Island, NY 10301 2015-08-04
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033716238 Alena Rakhman Physician Assistant 4118 Amboy Rd, Staten Island, NY 10308-2318 2020-10-01
1275155277 Nicole Deluzio Physician Assistant 332 Brighton St, Staten Island, NY 10307-1708 2020-05-12
1497377667 Alexandra Ferro Physician Assistant 150 Colon Ave, Staten Island, NY 10308-1405 2020-05-11
1083236434 Marisa Dimare Physician Assistant 700 Jewett Ave, Staten Island, NY 10314-2808 2020-05-08
1861013625 Danielle Alexandra Crespo Physician Assistant 8 Reading Ave, Staten Island, NY 10312-2021 2020-05-04
1194359257 Brandon J Rego Physician Assistant 224 Slater Blvd, Staten Island, NY 10305-3241 2020-02-27
1447897210 Anthony Joseph Lazzaro Physician Assistant 14 Luna Cir, Staten Island, NY 10312-6047 2019-11-29
1770127664 Jocelyn Philip Physician Assistant 158 Livingston Ave, Staten Island, NY 10314-5131 2019-11-04
1295379303 Dhiwya Alex Physician Assistant 61 Delafield Pl, Staten Island, NY 10310-1675 2019-10-31
1215570833 Francelli Marie Bello Physician Assistant 277 Deal Ct, Staten Island, NY 10305-3010 2019-10-27
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Competitor

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City STATEN ISLAND
Zip Code 10301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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