LORI DISTEFANO

MASSAPEQUA, NY
NPI1386785129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  013610-1)
Enumeration Date2007-02-12
Last Update Date2007-07-08
Business Address
Mrs. LORI DISTEFANO SLP-CCC
15 OXFORD PL
MASSAPEQUA, NY 11758-5233
Phone number: 516-798-7508
Mailing Address
Mrs. LORI DISTEFANO SLP-CCC
15 OXFORD PL
MASSAPEQUA, NY 11758-5233
Phone number: 516-798-7508