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

Larissa A. Tedesco, PA-C

Individual provider Physician Assistant · NPI 1467601401

Larissa A. Tedesco, PA-C is a Physician Assistant in White Plains, New York. Qualified in 2005, 21 years ago. Practices with Hartford Healthcare Medical Group Specialists PLLC, a 1,537-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
21
Licensed in
CT, NY
In the registry since
2008
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

222 Westchester Ave Ste 102
White Plains, NY 10604-2906
Phone: (914) 946-1010
Fax: (914) 946-1025
Show map & directions

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

Additional practice locations (1)

  • 888 White Plains Rd Ste 105, Trumbull, CT 06611-4552 — (203) 268-2882

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1688 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 010822-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 1688 (CT)

Record details

NPI number1467601401
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2008
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Hartford Healthcare Medical Group Specialists Pllc — 1537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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