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1063945335
MARIAELENA DISTEFANO
STATEN ISLAND, NY
NPI
1063945335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 021106-1)
Enumeration Date
2017-04-04
Last Update Date
2017-04-04
Business Address
-- MARIAELENA DISTEFANO OTR/L
1466 MANOR RD
STATEN ISLAND, NY 10314-7027
Phone number: 718-475-5286
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Mailing Address
-- MARIAELENA DISTEFANO OTR/L
240 WOEHRLE AVE
STATEN ISLAND, NY 10312-1942
Phone number: 718-744-5664
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