Individual
ALESSANDRA TERESA DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(347) 804-7142
Mailing address
4711 HYLAN BLVD, STATEN ISLAND, NY 10312-6311
(347) 804-7142
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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