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

Eileen Margaret Defonzo

Individual provider Specialist · NPI 1528559390

Eileen Margaret Defonzo is a Specialist in Massapequa Park, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

34 Joludow Dr
Massapequa Park, NY 11762-3720
Phone: (631) 645-6102
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2557172 (NY)

Record details

NPI number1528559390
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2018
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

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