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

MS. Lauren Taylor Tedesco, PA

Individual provider Surgical Physician Assistant · NPI 1972769578

MS. Lauren Taylor Tedesco, PA is a Surgical Physician Assistant in Great Neck, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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.

See every abbreviation used in this directory →

Practice location Address checks out

611 Northern Blvd
Great Neck, NY 11021
Phone: (516) 723-2663
Fax: (516) 325-7192
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012605 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 012605-1 (NY)

Record details

NPI number1972769578
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2008
Last updated in NPPESJune 4, 2015

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