Individual provider · Type 1 NPI
Laura Ann Fox-Distefano, NP
Gerontology Nurse Practitioner · White Plains, NY
NPI number
1609812619
Active
Practice location
3 Barker Ave
White Plains, NY 10601-1509
Fax (914) 949-1245
Mailing address
20 Rustic Dr
Airmont, NY 10952-4736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | F340403-1 (NY) |
Gerontology Nurse Practitioner: Definition to come...
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Other gerontology nurse practitioner providers in White Plains
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About NPI 1609812619
Laura Ann Fox-Distefano, NP's National Provider Identifier is 1609812619, issued on Jun 20, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in White Plains, NY. The record was last updated on Jul 8, 2007.