Individual provider · Type 1 NPI

Michael William Destefano, MICHAEL DESTEFANO

Diagnostic Radiology Physician · New York, NY

NPI number 1326369943 Active

Practice location

1300 York Ave
New York, NY 10065-4805

Call (646) 962-9649 Map

Mailing address

1 Federal St Ste SW200
Camden, NJ 08103-1155

Other practice locations

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 · (212) 241-6500
  • 1 Cooper Plz, Camden, NJ 08103 · (856) 342-2383

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X25MA10390300 (NJ)
Diagnostic Radiology Physician 2085R0202X278012-1 (NY)

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 1326369943

Michael William Destefano, MICHAEL DESTEFANO's National Provider Identifier is 1326369943, issued on Jun 17, 2010. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in New York, NY. The record was last updated on Apr 12, 2023.