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

Individual provider Psychologist · NPI 1710203393

Dr. Charles Destefano, PHD is a Psychologist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

77 Governor Rd
Staten Island, NY 10314-3021
Phone: (718) 273-9179
Fax: (718) 273-9179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 010175-1 (NY)

Record details

NPI number1710203393
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 8, 2010
Last updated in NPPESApril 8, 2010
Mailing address77 Governor Rd, Staten Island, NY 10314-3021

Other providers in Staten Island