Roma-Distefano, Debra

Roma-Distefano, Debra is an individual health care provider with primary practice located at 5301 Broadway , West New York NJ 07093-2622. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Roma-Distefano, Debra can be contacted via phone (201) 866-9320.

Contact Information

Primary practice address
5301 Broadway West New York NJ 07093-2622
Phone: (201) 866-9320
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 26NN07052100 New Jersey

Profile Details

NPI number 1306810213
LBN Legal business name Roma-Distefano, Debra
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306810213 NPPES
New Jersey MEDICAID 0028401

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