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MARIAELENA DISTEFANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1466 MANOR RD, STATEN ISLAND, NY 10314-7027
(718) 475-5286
Mailing address
240 WOEHRLE AVE, STATEN ISLAND, NY 10312-1942
(718) 744-5664

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
021106-1
NY

Other

Enumeration date
04/04/2017
Last updated
04/04/2017
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