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Jessica Destefano
NPI 1730796442 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8623 Honeycomb Path
Cicero, NY 13039 - Phone
- (315) 427-7251
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- NY, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-27
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