Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA MARIE DESTEFANO
Active Sole ProprietorJESSICA MARIE DESTEFANO is a Physician Assistant healthcare provider located in CICERO, New York. NPI 1730796442 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CICERO, NY
Registration Details
- NPI Number
- 1730796442
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 26, 2020 (5.858696418568 yrs)
- Last Updated
- Nov 27, 2021
- License
-
027661 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8623 HONEYCOMB PATHCICERO, NY, 130397844Browse NY providers · Browse ZIP 13039
- Phone
- 3154277251
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CICERO, NY
| Name | Credential | NPI |
|---|---|---|
| MISS LAUREL ANNE DELORME | P.A. | 1619980976 |
| GRETCHEN L PALMITER | PA | 1497895387 |
| MRS. BRYNNE KATHLEEN NOSKO | PA | 1861655896 |
| MRS. DIANE LORRAINE STADTMILLER | PA | 1346502408 |
| JENNIFER AMBROSE | — | 1144772039 |
| MR. JHAD MOZEB | PA-C | 1295272367 |
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.