Individual
DAVID ANTHONY DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5719 WIDEWATERS PKWY, SYRACUSE, NY 13214-1985
(315) 251-3100
(315) 449-9923
Mailing address
PO BOX 580, SYRACUSE, NY 13214-0580
(315) 251-3140
(315) 552-6046
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
338689
NY
Other
Enumeration date
03/19/2019
Last updated
08/16/2025
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