NPI 1144852385

Grace Ann Destefano

Practitioner Athletic Trainer Cortland, NY

Practice location

Address: 32 Graham Ave, Cortland, NY 13045-2452
Phone: (607) 753-2011
Mailing address: 107 Chapel Ave, East Patchogue, NY 11772-5788

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1144852385
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Feb 2020
Record last updated: 5 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.