Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dana Marie Tedesco, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1518574078

Dana Marie Tedesco, PHYSICIANASSISTANT is a Physician Assistant in New York, New York. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

462 1st Ave
New York, NY 10016-9196
Phone: (212) 562-4141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 170 William St, New York, NY 10038-2612 — (212) 312-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1518574078
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 29, 2020
Last updated in NPPESDecember 16, 2022
Certification dateDecember 2, 2022

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