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

Individual provider Registered Dietitian · NPI 1801651591

Nicole Rose Destefano, RD is a Registered Dietitian in Middletown, New York. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

55 Lexington Way
Middletown, NY 10940-1607
Phone: (845) 926-7592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1801651591
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedFebruary 21, 2024
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

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