Tedesco, William A

Tedesco, William A is an individual health care provider with primary practice located at 3 Irongate Center , Glens Falls NY 12801-3471. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tedesco, William A can be contacted via phone (518) 793-4409.

Contact Information

Primary practice address
3 Irongate Center Glens Falls NY 12801-3471
Fax: (518) 793-5886
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 095746 New York

Profile Details

NPI number 1710960067
LBN Legal business name Tedesco, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Feb 13th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710960067 NPPES
New York Other 10002028 CDPHP
New York Other 000000051341 CDPHP
New York Other 000401447001 CDPHP
New York Other 002120070050 CDPHP
New York MEDICAID 00360976 CDPHP
New York Other 496541 CDPHP
New York Other 5456200 CDPHP
New York Other 10507494 CDPHP
New York Other 0002090 CDPHP
New York Other 08178 CDPHP
New York Other CD1981 CDPHP

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