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

Kohl Destefanis

Individual provider Occupational Therapist · NPI 1306264866

Kohl Destefanis is an Occupational Therapist in Bayville, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

8 Baldwin Blvd
Bayville, NY 11709-1913
Phone: (516) 662-1136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 018765 (NY)

Record details

NPI number1306264866
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 2, 2014

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