Individual provider · Type 1 NPI

Colin Tedesco, PA

Medical Physician Assistant · Orchard Park, NY

NPI number 1558722611 Active

Practice location

3900 N Buffalo St
Orchard Park, NY 14127-1842

Fax (716) 250-5997

Mailing address

425 Essjay Rd Ste 170
Williamsville, NY 14221-8235

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1558722611

Colin Tedesco, PA's National Provider Identifier is 1558722611, issued on Mar 16, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orchard Park, NY. The record was last updated on Dec 14, 2021.