Individual
BRIAN DISTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
46 LINCOLN AVE, POUGHKEEPSIE, NY 12601-4518
(845) 471-6004
Mailing address
5 WALNUT DR, WAPPINGERS FALLS, NY 12590-2502
(845) 663-0131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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