Individual
DR. PAOLO EMILIO DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9001 3RD AVE, BROOKLYN, NY 11209-5707
(718) 748-2900
(718) 748-2538
Mailing address
9001 3RD AVE, BROOKLYN, NY 11209-5707
(718) 748-2009
(718) 748-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
133204
NY
207RC0000X
Cardiovascular Disease Physician
Primary
133204
NY
207RP1001X
Pulmonary Disease Physician
133204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00797351
—
NY
Enumeration date
01/17/2006
Last updated
04/14/2009
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