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

Mrs. Kathleen Mary Distefano, REGISTEREDNURSE

Individual provider Registered Nurse · NPI 1700110020

Mrs. Kathleen Mary Distefano, REGISTEREDNURSE is a Registered Nurse in Bohemia, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009

Practice location Address checks out

779 Hubal St
Bohemia, NY 11716-1703
Phone: (631) 567-1915
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 619306 (NY)

Record details

NPI number1700110020
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorNo
NPI enumeratedSeptember 21, 2009
Last updated in NPPESSeptember 21, 2009

Other providers in Bohemia