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Jody Destefano

NPI 1912261488 · on the registry since 2012

Practice

Address
9 Lindell Ave
Lake Grove, NY 11755
Phone
(631) 285-1086

Registry record

Primary taxonomy
174400000X
174400000X
Sex
Female
Record last updated
2012-06-29

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