Candice Distefano, OD

NPI #1235618620 in Northport, New York

Provider Information

NPI Number
1235618620
Entity Type
Individual
Name
Candice Distefano, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Aug 7, 2018
Last Updated
Aug 7, 2018

Practice Location

Address
79 MIDDLEVILLE RD
ZIP Code
11768-2200
Phone
(631) 261-4400

Specialties & Taxonomy Codes

Specialty
Optometrist

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