Individual provider · Type 1 NPI
Dionne Melisa Tedesco
Driver · Shirley, NY
NPI number
1639862352
Active
Practice location
460 Freestate Drive
Shirley, NY 11967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 775939121 (NY) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1639862352
Dionne Melisa Tedesco's National Provider Identifier is 1639862352, issued on May 30, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Shirley, NY. The record was last updated on May 30, 2023.