DR. Michael Destefano, M.D.
NPI #1407200116 in Port Jefferson, New York
Provider Information
- NPI Number
- 1407200116
- Entity Type
- Individual
- Name
- DR. Michael Destefano, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- M.D.
- Enumeration Date
- Apr 19, 2016
- Last Updated
- Feb 3, 2021
Practice Location
- Address
- 75 N COUNTRY RD
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2119
- Phone
- (631) 473-1320
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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