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Search › New York › 103TS0200X

Paul Distefano, MS

NPI 1396405338 · on the registry since 2021 · sole proprietor

Practice

Address
700 Lac De Ville Blvd
Rochester, NY 14618
Phone
(585) 385-6287
Organisation at this address
Daystar Formedically Fragile Children, Inc
Daystar For Medically Fragile Children, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York