Destefano, Anthony

Destefano, Anthony is an sole proprietor health care provider with primary practice located at 3 Carriage Path , Manorville NY 11949-2611. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Destefano, Anthony can be contacted via phone (631) 878-8304.

Contact Information

Primary practice address
3 Carriage Path Manorville NY 11949-2611
Phone: (631) 878-8304
Fax: (631) 878-8304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 001964-1 New York
Behavioral Health & Social Service Providers / School 103TS0200X New York

Profile Details

NPI number 1710016902
LBN Legal business name Destefano, Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Apr 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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