Destefano, Paolo Emilio

Destefano, Paolo Emilio is an sole proprietor health care provider with primary practice located at 9001 3Rd Ave , Brooklyn NY 11209-5707. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Destefano, Paolo Emilio can be contacted via phone (718) 748-2900.

Contact Information

Primary practice address
9001 3Rd Ave Brooklyn NY 11209-5707
Phone: (718) 748-2900
Fax: (718) 748-2538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 133204 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 133204 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 133204 New York

Profile Details

NPI number 1386623411
LBN Legal business name Destefano, Paolo Emilio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2006
Last updated Apr 14th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386623411 NPPES
New York MEDICAID 00797351

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