MS. LAUREN TAYLOR TEDESCO


Address: 611 Northern Blvd., Great Neck, NY 11021
Phone: 5167232663

MS. LAUREN TAYLOR TEDESCO (NPI# 1972769578) 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) 1972769578
Entity Type Individual
Full Name MS. LAUREN TAYLOR TEDESCO
Credential P.A.
Practice Address 611 Northern Blvd.
Great Neck
NY 11021
Practice Telephone 5167232663
Practice Fax Number 5163257192
Mailing Telephone 5167232663
Mailing Fax Number 5163257192
Enumeration Date 2008-08-03
Last Update Date 2015-06-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 012605 NY Physician Assistants & Advanced Practice Nursing Providers
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
012605-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers LAUREN TEDESCO

NPI Name Taxonomy Address Enumeration
1568814309 Lauren Tedesco Optometrist 7200 Mentor Ave, Mentor, OH 44060-7522 2016-07-05

Office Location

Street Address 611 NORTHERN BLVD.
City GREAT NECK
State NY
Zip Code 11021

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1457853707 Allison Squillace Social Worker 7 Bond Suite 1a, Great Neck, NY 11021 2018-03-02
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1346781598 Sara Dreiblatt Speech-Language Pathologist 211-45 46th Road, Queens, NY 11021 2017-03-20
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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
1376177428 Misagh Fasazadeh Physician Assistant 140 S Middle Neck Rd Apt 2e, Great Neck, NY 11021-3738 2020-02-27
1639530462 Janet Hebroni Physician Assistant 15 North Rd, Great Neck, NY 11024-1933 2016-03-07
1063815942 Peri Santodonato Physician Assistant 5 Imperial Ct, Great Neck, NY 11023-2240 2014-10-06
1952653248 Keri Bianco Physician Assistant Northwell Health Orthopaedic Institute, 611 Northern Boulevard, Suite 200, Great Neck, NY 11021-5208 2012-10-10
1518254325 Kevin Patrick Rooney Physician Assistant 900 Northern Blvd Ste 230, Great Neck, NY 11021-5302 2011-06-30
1336431576 Ronit Shabtian Physician Assistant 5 Robin Way, Great Neck, NY 11021 2011-05-05
1336431535 Yasaman Chadi Physician Assistant 90 Knightsbridge Rd, Great Neck, NY 11021-4546 2011-05-05
1568780179 Dara Bruckner Physician Assistant 17 Brokaw Lane, Great Neck, NY 11023 2010-05-06
1053576660 Ghazaleh Yasmeh Physician Assistant 60 Knights Bridge Rd, Apt# 1d, Great Neck, NY 11021 2008-07-23
1922167121 Filomena Abitino Physician Assistant 11 Grace Avenue Ste 100, Bodian Dermatology Group, Great Neck, NY 11021 2006-12-06
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Competitor

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City GREAT NECK
Zip Code 11021

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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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