Mariaelena Distefano
Occupational Therapist - Pediatrics
1466 Manor Rd
Staten Island
, New York 10314-7027
Mariaelena Distefano
Occupational Therapist - Pediatrics
1466 Manor Rd
Staten Island
, New York 10314-7027
(718) 744-5664
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Mariaelena Distefano
- 240 Woehrle Ave
- Staten Island, NY
- Zip : 10312-1942
- Phone : (718) 744-5664
Second Address
- Mariaelena Distefano
- 1466 Manor Rd
- Staten Island, NY
- Zip : 10314-7027
- Phone : (718) 475-5286
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 021106-1 | NY |
National Provider Identifier
| NPI | 1063945335 |
|---|---|
| Provider Name | Mariaelena Distefano |
| First Address | Staten Island, NY 10312-1942 |
| Second Address | Staten Island, NY 10314-7027 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/04/2017 |
| Last Update Date | 04/04/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.