Individual provider · Type 1 NPI

David Anthony Distefano, MD

Sports Medicine (Orthopaedic Surgery) Physician · Syracuse, NY

NPI number 1083173082 Active

Practice location

5719 Widewaters Pkwy
Syracuse, NY 13214-1985

Fax (315) 449-9923

Mailing address

PO Box 580
Syracuse, NY 13214-0580

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X338689 (NY)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1083173082

David Anthony Distefano, MD's National Provider Identifier is 1083173082, issued on Mar 19, 2019. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Syracuse, NY. The record was last updated on Aug 16, 2025.