Jessica Marie Destefano
Jessica Marie Destefano is a Physician Assistant in Cicero, New York. Qualified in 2021, 5 years ago. Practices with New York Anesthesiology Medical Specialties PC, a 29-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
8623 Honeycomb PathCicero, NY 13039-7844
Phone: (315) 427-7251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 027661 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1730796442 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2020 |
| Last updated in NPPES | November 27, 2021 |
| Certification date | November 27, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | New York Anesthesiology Medical Specialties Pc — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Cicero
-
Dr. Bilal Damlaj, DMD, CAGS, MSD
8057 Brewerton Rd, Cicero, NY 13039-9585 · (347) 400-9853
-
Dr. Kristin Raineri, DDS
5972 Rt 31, Cicero, NY 13039 · (315) 699-1100