ANTHONY DESTEFANO (NPI# 1710016902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710016902 |
| Entity Type | Individual |
| Full Name | ANTHONY DESTEFANO |
| Practice Address |
3 Carriage Path Manorville NY 11949-2611 |
| Practice Telephone | 6318788304 |
| Practice Fax Number | 6318788304 |
| Mailing Telephone | 5164439877 |
| Mailing Fax Number | 7187775250 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2008-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
001964-1 | NY | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255495370 | Anthony Destefano | Dentist | 6101 Grace Park Dr, Morrisville, NC 27560-6003 | 2006-12-21 |
| Street Address |
3 CARRIAGE PATH |
| City | MANORVILLE |
| State | NY |
| Zip Code | 11949-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992270946 | Bethesda Elite Care Inc | Home Health | 3 Surrey Lane, Manorville, NY 11949 | 2018-10-05 |
| 1922303072 | Samantha Ann Martino | Licensed Practical Nurse | 20 North Street, Manorville, NY 11949 | 2011-01-21 |
| 1336449453 | Eastport South Manor School District | Local Education Agency (LEA) | 543 Moriches Middle Island Rd, Manorville, NY 11949 | 2010-10-22 |
| 1134439599 | Lori M. Franchi | Social Worker | 543 Moriches Middle Island Road, Manorville, NY 11949 | 2010-10-19 |
| 1952556706 | Dawn Marie Munoz | Developmental Therapist | 53 Manorview Way, Manorville, NY 11949 | 2008-11-20 |
| 1770704504 | Ka Lun Benny Chan | Pharmacist | 8 Long Road, Manorville, NY 11949 | 2007-05-01 |
| 1245374560 | Maryhaven Center of Hope Inc. | Intermediate Care Facility, Mentally Retarded | 226 Eastport Manor Road, Manorville, NY 11949 | 2007-02-19 |
| 1891865721 | Independent Group Home Living | Nursing Facility/Intermediate Care Facility | 221 N. Sunrise Service Rd., Manorville, NY 11949 | 2006-11-08 |
| 1639107451 | Robert Galler | Neurological Surgery | 496 County Road 111, Building D, Manorville, NY 11949 | 2006-06-29 |
| 1679981401 | Elizabeth Ann Sanders | Physician Assistant | 496 County Road 111, Building B, Manorville, NY 11949 | 2014-07-24 |
| Find all providers in zip 11949 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220826 | Tina Ruggiero | Psychologist | 61 Fox Ct, Manorville, NY 11949-2613 | 2020-09-17 |
| 1801140298 | Denise Lynn Delello | Psychologist | 289 Dayton Ave, Manorville, NY 11949-2029 | 2012-11-06 |
| 1184873051 | Amy J Barker-deptuch | Psychologist | 21 Fairway Dr, Manorville, NY 11949-2909 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860612 | Zoe Spiegel | Psychologist | 20 Harding Dr, New Rochelle, NY 10801-4610 | 2020-10-28 |
| 1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
| 1114534310 | Alana May Sandberg | Psychologist | 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 | 2020-09-30 |
| 1437766177 | Danielle Brudner | Psychologist | 18 Cygnet Rd, Congers, NY 10920-1790 | 2020-09-27 |
| 1023624145 | Karleen Marie Gabriel | Psychologist | 35 Steven Pl, Smithtown, NY 11787-5419 | 2020-09-23 |
| 1730795832 | Erin A Hyle | Psychologist | 9 Maywood Ave, Rye Brook, NY 10573-2401 | 2020-09-23 |
| 1952917650 | Margaret Jane Willard | Psychologist | 167 15th St Apt 2l, Brooklyn, NY 11215-4849 | 2020-09-17 |
| 1902410137 | Dana Levine | Psychologist | 7 Chester Dr, Great Neck, NY 11021-4904 | 2020-09-04 |
| 1871107946 | Michele D Jefferson | Psychologist | 66 Main St Apt 525, Yonkers, NY 10701-8853 | 2020-09-04 |
| 1285248658 | Karin Hoesl | Psychologist | 105 Clover Drive, Pupil Personnel Services - Great Neck Public Schools, Great Neck, NY 11021-1031 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | MANORVILLE |
| Zip Code | 11949 |
Please comment or provide details below to improve the information on ANTHONY DESTEFANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.