Individual
BRITTANY DISTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
150 STAHL RD, GETZVILLE, NY 14068-1231
(716) 629-3400
Mailing address
150 STAHL RD, GETZVILLE, NY 14068-1231
(716) 629-3400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
853549141
NY
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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