Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Lillian Anne Tellefsen, PA-C

Individual provider Physician Assistant · NPI 1508007469

Miss. Lillian Anne Tellefsen, PA-C is a Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2454 Hylan Blvd
Staten Island, NY 10306-3117
Phone: (718) 233-1300
Fax: (718) 980-9728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010697-1 (NY)

Record details

NPI number1508007469
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 23, 2009
Last updated in NPPESJanuary 27, 2016

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