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1396003109
CHRISTOPHER PAUL DISTEFANO
RIDGEWOOD, NY
NPI
1396003109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NY 62 033038)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
Mr. CHRISTOPHER PAUL DISTEFANO DPT
1822 STEPHEN ST
RIDGEWOOD, NY 11385-5813
Phone number: 347-563-5914
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Mailing Address
Mr. CHRISTOPHER PAUL DISTEFANO DPT
1822 STEPHEN ST
RIDGEWOOD, NY 11385-5813
Phone number: 347-563-5914
Copy
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