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

Mrs. Jessica Defeo

Individual provider Specialist · NPI 1366164428

Mrs. Jessica Defeo is a Specialist in Staten Island, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

110 Forrestal Ave
Staten Island, NY 10312-1957
Phone: (917) 745-7275
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1366164428
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2022
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022

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