Individual
MR. CHRISTOPHER PAUL DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1822 STEPHEN ST, RIDGEWOOD, NY 11385-5813
(347) 563-5914
Mailing address
1822 STEPHEN ST, RIDGEWOOD, NY 11385-5813
(347) 563-5914
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
62 033038
NY
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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