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NPI Code Detail

MEDICARE: MS. MARIA A TELESCA FNP

MEDICARE: MS. MARIA A TELESCA FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner336232NY

General Provider Information

NPI Number : 1821313479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA A TELESCA FNP
Provider Business Mailing Address
First Line : 117 JOFFRE AVE
Second Line :
City : STAMFORD
State : CT
Zip : 06905-3318
Country : US
Telephone Number : 914-557-8633
Fax Number :
Provider Business Practice Location Address
First Line : 381 HIGH RIDGE RD
Second Line :
City : STAMFORD
State : CT
Zip : 06905-3018
Country : US
Telephone Number : 203-977-5303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2010
Last Update Date : 03/17/2018

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