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MS. CATHY DISTEFANO OMT NPI 1881193407


NPI Information

NPI: 1881193407
Provider Name: MS. CATHY DISTEFANO, OMT
Classification: Dental Hygienist - 124Q00000X
Entity Type: Individual
Address:
5 WIMBLEDON CT
WOODBURY, NY
ZIP 11797
Phone: (516) 510-1157
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MS. Cathy Distefano, OMT is a dental hygienist in Woodbury, NY. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. MS. Cathy Distefano, OMT NPI is 1881193407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 WIMBLEDON CT
WOODBURY, NY
ZIP 11797-411
Phone: (516) 510-1157

The enumeration date for this NPI number is 2/9/2018 and was last updated on 6/16/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental Hygienist018374NEW YORKYes
2124Q00000XDental Hygienist018374-1NEW YORKNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1018374MEDICAIDNEW YORK
2018374OTHERNEW YORKOMT
3018374-1MEDICAIDNEW YORK
49478748MEDICAIDNEW 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

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