Anthony Destefano, AGACNP Valid NPI
Individual provider · Acute Care Nurse Practitioner · Manhasset, NY
- NPI
- 1962125765
- Type
- Individual (Type 1)
- Primary specialty
- Acute Care Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LA2100X
- License number
- 432415 (NY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-09-26
- Last updated
- 2022-09-26
Practice location
300 Community Dr
Manhasset, NY 11030-3876
(516) 562-0100