Individual
AMY DESTEFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2 KARYL LN, PROSPECT, CT 06712-1203
(203) 928-9514
Mailing address
2 KARYL LN, PROSPECT, CT 06712-1203
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002224
CT
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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