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Individual

DR. SABRINA GLORIA DESTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
12F DORADO DR, MORRISTOWN, NJ 07960-9413
(716) 973-9988
Mailing address
12F DORADO DR, MORRISTOWN, NJ 07960-9413
(716) 973-9988

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
240151
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02798543
NY
Enumeration date
07/24/2006
Last updated
05/06/2010
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