MRS. Jody Leigh Destefano is a specialist in Lake Grove, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MRS. Jody Leigh Destefano NPI is 1912261488. 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:
9 LINDELL AVE
LAKE GROVE, NY
ZIP 11755-121
Phone: (631) 285-1086
The enumeration date for this NPI number is 6/29/2012 and was last updated on 6/29/2012.