CANDICE DISTEFANO, OD
Optometrist
Active
Individual
NPI: 1235618620
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | TUV008851-1 (NY) |
Frequently Asked Questions
NPI 1235618620 is the National Provider Identifier for CANDICE DISTEFANO, OD, a Optometrist provider located in Northport, NY. This NPI was enumerated on August 7, 2018.
CANDICE DISTEFANO, OD practices at 79 MIDDLEVILLE RD, Northport, NY 11768.
Quick Facts
- NPI
- 1235618620
- Type
- Individual
- Enumerated
- Aug 7, 2018
- Last Updated
- Aug 7, 2018
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