Individual
SARINA J DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
755 N BROADWAY STE 560, SLEEPY HOLLOW MEDICAL GROUP AT PHELPS, SLEEPY HOLLOW, NY 10591-1077
(914) 631-0337
(914) 631-0552
Mailing address
755 N BROADWAY STE 560, SLEEPY HOLLOW MEDICAL GROUP AT PHELPS, SLEEPY HOLLOW, NY 10591-1077
(914) 631-0337
(914) 631-0552
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
150224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00858177
—
NY
Enumeration date
09/11/2006
Last updated
03/09/2011
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