MICHAEL DESTEFANO

VALLEY STREAM, NY
NPI1376139485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  35762)
Enumeration Date2020-12-14
Last Update Date2020-12-14
Business Address
MICHAEL DESTEFANO CASAC-T, BSW
50 WEST HAWTHORNE AVE 2ND FLOOR
VALLEY STREAM, NY 11580-1158
Phone number: 516-569-6600
Mailing Address
MICHAEL DESTEFANO CASAC-T, BSW
246 N RICHMOND AVE
MASSAPEQUA, NY 11758
Phone number:
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