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

Grace Ann Destefano

Individual provider Athletic Trainer · NPI 1144852385

Grace Ann Destefano is an Athletic Trainer in Cortland, New York. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

32 Graham Ave
Cortland, NY 13045-2452
Phone: (607) 753-2011
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1144852385
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address107 Chapel Ave, East Patchogue, NY 11772-5788

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