Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Salvatore A Tedesco Sr., MD

Individual provider Surgery Physician · NPI 1891791083

Dr. Salvatore A Tedesco Sr., MD is a Surgery Physician in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17 Shift Pl
Staten Island, NY 10312-1136
Phone: (718) 948-4498
Fax: (718) 948-4498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 138920 (NY)

Record details

NPI number1891791083
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 22, 2005
Last updated in NPPESNovember 6, 2013

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