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

Mrs. Michelle Destefano

Individual provider Massage Therapist · NPI 1003656703

Mrs. Michelle Destefano is a Massage Therapist in Commack, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024

Practice location Address checks out

340 Veterans Memorial Hwy Ste 10
Commack, NY 11725-4300
Phone: (631) 776-3019
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 013796 (NY)

Record details

NPI number1003656703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 29, 2024

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