Individual provider · Type 1 NPI

Larissa A. Tedesco, PA-C

Surgical Physician Assistant · White Plains, NY

NPI number 1467601401 Active

Practice location

222 Westchester Ave, Suite 102
White Plains, NY 10604-2906

Call (914) 946-1010 Map

Fax (914) 946-1025

Mailing address

2408 Whitney Ave
Hamden, CT 06518-3209

Other practice locations

  • 888 White Plains Rd Ste 105, Trumbull, CT 06611-4552 · (203) 268-2882

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X010822-1 (NY)
Surgical Physician Assistant Primary 363AS0400X1688 (CT)
Physician Assistant 363A00000X1688 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1467601401

Larissa A. Tedesco, PA-C's National Provider Identifier is 1467601401, issued on Sep 15, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in White Plains, NY. The record was last updated on Aug 5, 2025.