Tedesco, Lauren Taylor

Tedesco, Lauren Taylor is an individual health care provider with primary practice located at 611 Northern Blvd. , Great Neck NY 11021. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Tedesco, Lauren Taylor can be contacted via phone (516) 723-2663.

Contact Information

Primary practice address
611 Northern Blvd. Great Neck NY 11021
Phone: (516) 723-2663
Fax: (516) 325-7192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 012605-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 012605 New York

Profile Details

NPI number 1972769578
LBN Legal business name Tedesco, Lauren Taylor
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2008
Last updated Jun 4th, 2015 - 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.

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