MICHAEL DESTEFANO

PORT JEFFERSON, NY
NPI1407200116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  301867)
Enumeration Date2016-04-19
Last Update Date2021-02-03
Business Address
Dr. MICHAEL DESTEFANO M.D.
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
Mailing Address
Dr. MICHAEL DESTEFANO M.D.
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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