National Provider Identifier

John James Tedesco, M.S., R.D., CDN

John James Tedesco, M.S., R.D., CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Buffalo, NY and a listed phone number of (716) 834-9200.

NPI 1518971381Buffalo, NYRegistered Dietitian

Profile Overview

NPI
1518971381
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
July 28, 2006
Last Updated
July 08, 2007

Practice Location

  • 3495 Bailey Ave
  • Buffalo, NY 14215-1129

Phone: (716) 834-9200

Mailing Address

  • 9 Liberty Ter
  • Buffalo, NY 14215-1909

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1518971381
Entity Type
Individual
Last Name
Tedesco
First Name
John
Middle Name
James
Name Prefix
Mr.
Credential
M.S., R.D., CDN
Mailing Street Address
9 Liberty Ter
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1909
Mailing Country
US
Mailing Phone
(716) 834-9200
Practice Street Address
3495 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1129
Practice Country
US
Practice Phone
(716) 834-9200
Practice Fax
(716) 862-6374
Enumeration Date
July 28, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)