Individual
MR. ANTHONY DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-0100
Mailing address
9 TORLEN CT, HAUPPAUGE, NY 11788-2617
(516) 993-8127
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432415
NY
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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