National Provider Identifier
Colin Tedesco, PA
Colin Tedesco, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Orchard Park, NY and a listed phone number of (716) 630-1151.
Profile Overview
- NPI
- 1558722611
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- March 16, 2016
- Last Updated
- December 14, 2021
Practice Location
- 3900 N Buffalo St
- Orchard Park, NY 14127-1842
Phone: (716) 630-1151
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Orchard Park, NY 14127
Full Record
- NPI
- 1558722611
- Entity Type
- Individual
- Last Name
- Tedesco
- First Name
- Colin
- Credential
- PA
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Practice Street Address
- 3900 N Buffalo St
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1842
- Practice Country
- US
- Practice Phone
- (716) 630-1151
- Practice Fax
- (716) 250-5997
- Enumeration Date
- March 16, 2016
- Last Updated
- December 14, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)