Liana Juliet Tedesco
Orthopaedic Surgery in New York, NY. Individual provider (NPI-1).
NPI number1861997249
StatusActive
Last updated in NPPESMay 31, 2024
Details
- NPI
- 1861997249
- Entity type
- Individual (NPI-1)
- Name
- Liana Juliet Tedesco
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2018
- Certification date
- May 31, 2024
- Last updated
- May 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 321433 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
161 Fort Washington Ave Fl 2New York, NY 10032-3729
Phone 212-305-4565
Mailing address
500 Highview RdEnglewood, NJ 07631-2038
Phone 201-207-6688
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