Individual
MRS. MICHELLE DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 VETERANS MEMORIAL HWY STE 10, COMMACK, NY 11725-4300
(631) 776-3019
Mailing address
340 VETERANS MEMORIAL HWY STE 10, COMMACK, NY 11725-4300
(631) 776-3019
(631) 776-3018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013796
NY
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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