Individual provider · Type 1 NPI

Jessica Lynn Hinaman Destefano

Diagnostic Radiology Physician · Williamsville, NY

NPI number 1093344970 Active

Practice location

55 Spindrift Dr Ste 101
Williamsville, NY 14221-7891

Mailing address

700 E Morehead St Ste 300
Charlotte, NC 28202-2742

Other practice locations

  • Medical Center Blvd, Winston Salem, NC 27157-2648 · (336) 716-2255

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X341812 (NY)
Diagnostic Radiology Physician 2085R0202X2025-01754 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1093344970

Jessica Lynn Hinaman Destefano's National Provider Identifier is 1093344970, issued on Apr 3, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Williamsville, NY. The record was last updated on Nov 2, 2026.