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John Distasio, M.A., ED., S.A.S
NPI 1649730631 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6 E 85th St
New York, NY 10028 - Phone
- (212) 249-3806
- Fax
- (212) 249-3786
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York