Distefano, Judith A

Distefano, Judith A is an sole proprietor health care provider with primary practice located at 146 Manetto Hill Rd Suite 160, Plainview NY 11803-1324. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Distefano, Judith A can be contacted via phone (516) 942-0738.

Contact Information

Primary practice address
146 Manetto Hill Rd Suite 160 Plainview NY 11803-1324
Phone: (516) 942-0738
Fax: (516) 921-4643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 010178 New York

Profile Details

NPI number 1548368707
LBN Legal business name Distefano, Judith A
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 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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