CHARLES DESTEFANO

STATEN ISLAND, NY
NPI1710203393
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: NY  010175-1)
Enumeration Date2010-04-08
Last Update Date2010-04-08
Business Address
Dr. CHARLES DESTEFANO Ph.D.
77 GOVERNOR RD
STATEN ISLAND, NY 10314-3021
Phone number: 718-273-9179
Mailing Address
Dr. CHARLES DESTEFANO Ph.D.
77 GOVERNOR RD
STATEN ISLAND, NY 10314-3021
Phone number: 718-273-9179
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