MICHAEL DISTEFANO

STATEN ISLAND, NY
NPI1124647631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  012677)
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
MICHAEL DISTEFANO
4711 HYLAN BLVD
STATEN ISLAND, NY 10312-6311
Phone number: 347-739-3778
Mailing Address
MICHAEL DISTEFANO
4711 HYLAN BLVD
STATEN ISLAND, NY 10312-6311
Phone number: 347-739-3778
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