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1962125765
ANTHONY DESTEFANO
MANHASSET, NY
NPI
1962125765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NY 432415)
Enumeration Date
2022-09-26
Last Update Date
2022-09-26
Business Address
Mr. ANTHONY DESTEFANO AGACNP
300 COMMUNITY DR
MANHASSET, NY 11030-3876
Phone number: 516-562-0100
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Mailing Address
Mr. ANTHONY DESTEFANO AGACNP
9 TORLEN CT
HAUPPAUGE, NY 11788-2617
Phone number: 516-993-8127
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