Individual
PAUL DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
700 LAC DE VILLE BLVD, ROCHESTER, NY 14618-5665
(585) 385-6287
Mailing address
300 CHELMSFORD RD, ROCHESTER, NY 14618-1757
(585) 733-2980
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
12/17/2021
Last updated
07/21/2022
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