Search › New York › 1041C0700X
Sandra Distefano, LCSW-R,ACSW
NPI 1790052454 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3599 Big Ridge Rd
Spencerport, NY 14559 - Phone
- (585) 732-1674
- Organisation at this address
- Boces2
Monroe 2 Orleans BocesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 76
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-23
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