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

MRS. JODY LEIGH DESTEFANO

Active

MRS. JODY LEIGH DESTEFANO is a Specialist healthcare provider located in LAKE GROVE, New York. NPI 1912261488 is currently active in the NPPES registry. Verify at CMS.

Specialist · LAKE GROVE, NY

Registration Details

NPI Number
1912261488
Provider Type
Individual
Gender
Female
NPI Issued
Jun 29, 2012 (14.121855966333 yrs)
Last Updated
Jun 29, 2012

Practice Information

Address
9 LINDELL AVE
LAKE GROVE, NY, 117553121
Browse NY providers · Browse ZIP 11755
Phone
6312851086
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LAKE GROVE, NY

Name Credential NPI
MS. LAURA MARIE STONBORG 1447511613
MARGARET MICHALAK MS 1164784286
MS. ANTOINETTE GIAMPIETRO 1538423470
MRS. ERIN BRIDGET SHINE BUTLER M.S. ED. 1881942852
MISS CAITLIN M GRANAURO 1811246002
TONIANN MARIE GIORDANO 1194075143
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.