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1861215931
LYNNE DISTEFANO
STATEN ISLAND, NY
NPI
1861215931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 005177)
Enumeration Date
2024-11-06
Last Update Date
2024-11-06
Business Address
LYNNE DISTEFANO PTA
4363 AMBOY RD
STATEN ISLAND, NY 10312-3819
Phone number: 718-984-8400
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Mailing Address
LYNNE DISTEFANO PTA
114 ARMSTRONG AVE
STATEN ISLAND, NY 10308-3303
Phone number: 718-490-0594
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