Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Tedesco

Individual provider Specialist · NPI 1528788080

Alexis Tedesco is a Specialist in Medford, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

1 Industrial Blvd
Medford, NY 11763-2220
Phone: (631) 297-3202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2697512 (NY)

Record details

NPI number1528788080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2022
Last updated in NPPESSeptember 2, 2022
Certification dateSeptember 2, 2022
Mailing address1 Industrial Blvd, Medford, NY 11763-2220

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