Search › New York › 103T00000X
Charles Destefano, PH.D
NPI 1710203393 · on the registry since 2010 · sole proprietor
Practice
- Address
- 77 Governor Rd
Staten Island, NY 10314 - Phone
- (718) 273-9179
- Fax
- (718) 273-9179
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-04-08
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