KATHLEEN MARY DISTEFANO

BOHEMIA, NY
NPI1700110020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  619306)
Enumeration Date2009-09-21
Last Update Date2009-09-21
Business Address
Mrs. KATHLEEN MARY DISTEFANO registered nurse
779 HUBAL ST
BOHEMIA, NY 11716-1703
Phone number: 631-567-1915
Mailing Address
Mrs. KATHLEEN MARY DISTEFANO registered nurse
779 HUBAL ST
BOHEMIA, NY 11716-1703
Phone number:
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