Individual provider · Type 1 NPI

Alessandra Teresa Distefano, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1235917626 Active

Practice location

5141 Broadway
New York, NY 10034-1159

Call (347) 804-7142 Map

Mailing address

4711 Hylan Blvd
Staten Island, NY 10312-6311

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1235917626

Alessandra Teresa Distefano, PA-C's National Provider Identifier is 1235917626, issued on Sep 18, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Sep 18, 2023.