Individual
NEIL DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 BACKUS AVE, DANBURY, CT 06810-7422
(203) 207-0051
(203) 409-3849
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
413
CT
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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