Individual
PAMELA ANN DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
16 W BRIDGE ST, SAUGERTIES, NY 12477-1415
(845) 246-3000
(845) 246-7622
Mailing address
16 W BRIDGE ST, SAUGERTIES, NY 12477-1415
(845) 246-3000
(845) 246-7622
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003834-1
NY
Other
Enumeration date
09/28/2006
Last updated
04/01/2011
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