Rachel Destefano
Otolaryngology/Facial Plastic Surgery
800 S Logan Blvd Ste 3100 Suite 3100
Hollidaysburg
, Pennsylvania 16648-3050
Rachel Destefano
Otolaryngology/Facial Plastic Surgery
800 S Logan Blvd Ste 3100 Suite 3100
Hollidaysburg
, Pennsylvania 16648-3050
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Rachel Destefano
- 404 Lodge Ln Suite 3100
- Altoona, PA
- Zip : 16601-7241
- Phone :
Second Address
- Rachel Destefano
- 800 S Logan Blvd Ste 3100 Suite 3100
- Hollidaysburg, PA
- Zip : 16648-3050
- Phone : (814) 889-4300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OA004357 | PA |
National Provider Identifier
| NPI | 1124531934 |
|---|---|
| Provider Name | Rachel Destefano |
| First Address | Altoona, PA 16601-7241 |
| Second Address | Hollidaysburg, PA 16648-3050 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2017 |
| Last Update Date | 15/06/2021 |
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.