Search › New York › 103TS0200X
Anthony Destefano
NPI 1710016902 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3 Carriage Path
Manorville, NY 11949 - Phone
- (631) 878-8304
- Fax
- (631) 878-8304
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Also registered as
- 101YM0800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-04
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