Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOANN DISTEFANO, O.T.
Active Sole ProprietorJOANN DISTEFANO, O.T. is a Case Management Agency healthcare provider located in EAST NORTHPORT, New York. NPI 1275777625 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · EAST NORTHPORT, NY
Registration Details
- NPI Number
- 1275777625
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2009 (17.30916411965 yrs)
- Last Updated
- Apr 29, 2009
- License
-
3453-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7 ELTON DREAST NORTHPORT, NY, 117316007Browse NY providers · Browse ZIP 11731
- Phone
- 6317660062
- Primary Specialty
-
Case Management Agency
251B00000X
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.