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

MRS. KATHLEEN MARY DISTEFANO, REGISTERED NURSE

Active

MRS. KATHLEEN MARY DISTEFANO, REGISTERED NURSE is a Registered Nurse healthcare provider located in BOHEMIA, New York. NPI 1700110020 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · BOHEMIA, NY

Registration Details

NPI Number
1700110020
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2009 (16.71421770197 yrs)
Last Updated
Sep 21, 2009
License
619306 (NY)

Practice Information

Address
779 HUBAL ST
BOHEMIA, NY, 117161703
Browse NY providers · Browse ZIP 11716
Phone
6315671915
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in BOHEMIA, NY

Name Credential NPI
ANNETTE GRECO KEENAN RN 1225184500
MRS. DEBORAH ANN MACDOWELL R.N. 1346387578
MARYANN K YAROSZ RN 1376740209
JUDITH C. PARA R.N. 1508066762
MARGARET DOROTHY MAIER RN,BC 1861649824
ANNETTE LEIPZIGER RN 1306088851
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.