MRS. MICHELLE DESTEFANO - NPI 1003656703 - Massage Therapist in Commack, NY

Q: What is Michelle Destefano's NPI number?

The NPI number for Michelle Destefano is 1003656703. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Q: What is Michelle Destefano's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

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About Mrs. Michelle Destefano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE DESTEFANO (NPI 1003656703) is an individual massage therapist in Commack, New York, licensed in New York (013796) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1003656703

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMRS. MICHELLE DESTEFANO

Location Address340 VETERANS MEMORIAL HWY STE 10Commack, NY 11725-4300

Mailing Address340 Veterans Memorial Hwy Ste 10Commack, NY 11725-4300 · (631) 776-3019 · Fax (631) 776-3018

Phone(631) 776-3019

Sole ProprietorNo

Enumeration DateMay 30, 2024

NPPES CertifiedMay 29, 2024

✔ NPI 1003656703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in NY · 013796

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

340 VETERANS MEMORIAL HWY STE 10, Commack, NY 11725

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAKOTA GODEK

Massage Therapist