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
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Diagnostic Radiology Physician Primary | 2085R0202X | 341812 (NY) |
| Diagnostic Radiology Physician | 2085R0202X | 2025-01754 (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.