Tedesco, Salvatore A
Tedesco, Salvatore A is an sole proprietor health care provider with primary practice located at 17 Shift Pl , Staten Island NY 10312-1136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Tedesco, Salvatore A can be contacted via phone (718) 948-4498.Contact Information
Primary practice address
17 Shift Pl
Staten Island NY 10312-1136
Phone: (718) 948-4498
Fax: (718) 948-4498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 138920 | New York |
Profile Details
| NPI number | 1891791083 |
|---|---|
| LBN Legal business name | Tedesco, Salvatore A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Nov 6th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891791083 | NPPES |
| New York | MEDICAID | 00778336 |
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