DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAIMIE A DISTEFANO

Active

JAIMIE A DISTEFANO is a Specialist healthcare provider located in MELVILLE, New York. NPI 1558869263 is currently active in the NPPES registry. Verify at CMS.

Specialist · MELVILLE, NY

Registration Details

NPI Number
1558869263
Provider Type
Individual
Gender
Female
NPI Issued
Jan 28, 2018 (8.5366894959429 yrs)
Last Updated
Jan 29, 2018

Practice Information

Address
225 BROADHOLLOW RD
MELVILLE, NY, 117474822
Browse NY providers · Browse ZIP 11747
Phone
6313857780
Primary Specialty
Specialist
174400000X

Other Specialist Providers in MELVILLE, NY

Name Credential NPI
DR. STEVEN W WINTER M.D. 1831148832
DR. LEE POMERANZ M.D. 1518986298
MRS. BECKI NAOMI BOUSSIDAN M.S. ED 1548308125
MRS. SUNANDA BATRA PT 1982747408
MS. MARY H. TENG OTR 1922256627
MS. LILLIE GATEWOOD 1396056750
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.