DR. PAOLO EMILIO DESTEFANO MD NPI 1386623411

NPI Information

NPI: 1386623411
Provider Name: DR. PAOLO EMILIO DESTEFANO, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
9001 3RD AVE
BROOKLYN, NY
ZIP 11209
Phone: (718) 748-2900
Get Directions

DR. Paolo Emilio Destefano, MD is a cardiovascular disease internal medicine in Brooklyn, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Paolo Emilio Destefano, MD NPI is 1386623411. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9001 3RD AVE
BROOKLYN, NY
ZIP 11209-707
Phone: (718) 748-2900
Fax: (718) 748-2538

The NPI 1386623411 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/17/2006 and was last updated on 4/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		133204	NEW YORK	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	133204	NEW YORK	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	133204	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	47A491	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	C10147	MEDICARE UPIN	NEW YORK
3	00797351	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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