Individual provider · Type 1 NPI

Dominick A. Destefano, A.T., C

Athletic Trainer · Southampton, NY

NPI number 1053378067 Active

Practice location

1370A Majors Path
Southampton, NY 11968-2416

Fax (631) 259-0404

Mailing address

58 School St
Hampton Bays, NY 11946-2657

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer Primary 2255A2300X000572-1 (NY)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1053378067

Dominick A. Destefano, A.T., C's National Provider Identifier is 1053378067, issued on Apr 26, 2006. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Southampton, NY. The record was last updated on Jul 13, 2026.