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ALEXIS TEDESCO
NPI 1528788080
Specialist in Medford, NY

Active since September 02, 2022
1 INDUSTRIAL BLVD, MEDFORD, NY 11763(631) 297-3202 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Alexis Tedesco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS TEDESCO (NPI 1528788080) is an individual specialist in Medford, New York, licensed in New York (2697512) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1528788080
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameALEXIS TEDESCO
Location Address1 INDUSTRIAL BLVDMedford, NY 11763-2220
Mailing Address1 Industrial BlvdMedford, NY 11763-2220
Phone(631) 297-3202
Sole ProprietorNo
Enumeration DateSeptember 2, 2022
NPPES CertifiedSeptember 2, 2022
✔ NPI 1528788080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 2697512
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 INDUSTRIAL BLVD, Medford, NY 11763
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE A MADONIA
Specialist
1 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3200
STEPHANIE WELLBROCK
Specialist
1 INDUSTRIAL BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Tedesco's NPI number?

The NPI number for Alexis Tedesco is 1528788080. It was assigned to this individual provider in the NPPES registry on September 2, 2022.

Where is Alexis Tedesco located?

Alexis Tedesco practices at 1 Industrial Blvd, Medford, NY 11763. The listed phone number is (631) 297-3202.

What is Alexis Tedesco's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Alexis Tedesco was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.