Mrs. Jody Leigh Destefano
Mrs. Jody Leigh Destefano is a Specialist in Lake Grove, New York. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
9 Lindell AveLake Grove, NY 11755-3121
Phone: (631) 285-1086
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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 number | 1912261488 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 29, 2012 |
| Last updated in NPPES | June 29, 2012 |
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