John Tedesco
Cardiothoracic Vascular Surgeon
23 Old Mamaroneck Rd Apt 5g
White Plains
, New York 10605-2015
John Tedesco
Cardiothoracic Vascular Surgeon
23 Old Mamaroneck Rd Apt 5g
White Plains
, New York 10605-2015
(914) 413-9530
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- John Tedesco
- 23 Old Mamaroneck Rd Apt 5g
- White Plains, NY
- Zip : 10605-2015
- Phone : (914) 413-9530
Second Address
- John Tedesco
- 23 Old Mamaroneck Rd Apt 5g
- White Plains, NY
- Zip : 10605-2015
- Phone : (914) 413-9530
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 036157697 | IL |
National Provider Identifier
| NPI | 1104271782 |
|---|---|
| Provider Name | John Tedesco |
| First Address | White Plains, NY 10605-2015 |
| Second Address | White Plains, NY 10605-2015 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2016 |
| Last Update Date | 16/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.