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

Jaimie A Distefano

Individual provider Specialist · NPI 1558869263

Jaimie A Distefano is a Specialist in Melville, New York. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

225 Broadhollow Rd
Melville, NY 11747-4822
Phone: (631) 385-7780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1558869263
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2018
Last updated in NPPESJanuary 29, 2018
Mailing address225 Broadhollow Rd, Melville, NY 11747-4822

Other providers in Melville