Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Destefano

Individual provider Mental Health Counselor · NPI 1710016902

Anthony Destefano is a Mental Health Counselor in Manorville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2

Practice location Address checks out

3 Carriage Path
Manorville, NY 11949-2611
Phone: (631) 878-8304
Fax: (631) 878-8304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X (NY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 001964-1 (NY)

Record details

NPI number1710016902
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESApril 4, 2008
Mailing address3 Carriage Path, Manorville, NY 11949-2611

Other providers in Manorville