Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOMINICK A DESTEFANO, A.T.,C
ActiveMR. DOMINICK A DESTEFANO, A.T.,C is a Athletic Trainer healthcare provider located in SOUTHAMPTON, New York. NPI 1053378067 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · SOUTHAMPTON, NY
Registration Details
- NPI Number
- 1053378067
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.313947555187 yrs)
- Last Updated
- Jul 8, 2007
- License
-
000572-1 (NY)
Practice Information
- Address
-
1370A MAJORS PATHSOUTHAMPTON, NY, 119682416Browse NY providers · Browse ZIP 11968
- Phone
- 6312590400
- Fax
- 6312590404
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in SOUTHAMPTON, NY
| Name | Credential | NPI |
|---|---|---|
| NICHOLAS CHIOFALO | ATC | 1659331494 |
| MRS. KAREN M DELESKI | M.S, ATC, LMT | 1558468272 |
| LORRAINE M MILAZZO | MS ATC | 1194822882 |
| MR. VINCENT MANGANO | ATC | 1922141894 |
| JOHN PATRICK NG SALES | — | 1013481308 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.