David Anthony Distefano, MD
Orthopaedic Surgery, Sports Medicine in Syracuse, NY. Individual provider (NPI-1).
NPI number1083173082
StatusActive
Last updated in NPPESAug 16, 2025
Details
- NPI
- 1083173082
- Entity type
- Individual (NPI-1)
- Name
- David Anthony Distefano
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2019
- Certification date
- Aug 16, 2025
- Last updated
- Aug 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | 338689 | NY | Yes |
Practice location
5719 Widewaters PkwySyracuse, NY 13214-1985
Phone 315-251-3100 · Fax 315-449-9923
Mailing address
Po Box 580Syracuse, NY 13214-0580
Phone 315-251-3140 · Fax 315-552-6046
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Other Sports Medicine (Orthopaedic Surgery) Physician providers in Syracuse, NY
- Daniel L Carr, M.D.NPI 1861485781
- Cny Orthopedic Sports Medicine PCNPI 1437142346
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- Lawson Ryan Smart, M.D.NPI 1831373224
- Daniel C Wnorowski, MDNPI 1801992581
All 6 Sports Medicine (Orthopaedic Surgery) Physician providers in Syracuse · All 11,077 providers in Syracuse
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