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

Colin Tedesco, PA

Individual provider Physician Assistant · NPI 1558722611

Colin Tedesco, PA is a Physician Assistant in Orchard Park, New York. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3900 N Buffalo St
Orchard Park, NY 14127-1842
Phone: (716) 630-1151
Fax: (716) 250-5997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1558722611
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 16, 2016
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

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