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1558722611
COLIN TEDESCO
ORCHARD PARK, NY
NPI
1558722611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2016-03-16
Last Update Date
2021-12-14
Business Address
COLIN TEDESCO PA
3900 N BUFFALO ST
ORCHARD PARK, NY 14127-1842
Phone number: 716-630-1151
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Mailing Address
COLIN TEDESCO PA
425 ESSJAY RD STE 170
WILLIAMSVILLE, NY 14221-8235
Phone number: 716-630-1219
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