Most Relevant Information
Provider Data
| NPI Number: | 1003195496 |
| Provider Name: | NICHOLAS A TEDESCO D.D.S |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 031095 |
Most Important Dates
| Enumeration Date: | 08/16/2011 |
| Last Updated: | 08/16/2011 |
Provider Practice Location
230 WEST 41ST ST.
2ND FLOOR
NEW YORK
NY
10036
Practice Location Phone/Fax
| Phone: | 2123989690 |
| Fax: | 2122210291 |
Provider Mailing Location
230 WEST 41ST ST.
2ND FLOOR
NEW YORK
NY
10036
Provider Mailing Phone/Fax
| Phone: | 2123989690 |
| Fax: | 2122210291 |