Carmine Salvatore Destefano, LMSW
Social Worker in Staten Island, NY. Individual provider (NPI-1).
NPI number1982159687
StatusActive
Last updated in NPPESAug 23, 2016
Details
- NPI
- 1982159687
- Entity type
- Individual (NPI-1)
- Name
- Carmine Salvatore Destefano
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2016
- Last updated
- Aug 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 072726 | NY | Yes |
Practice location
20 Ebbitts StStaten Island, NY 10306-4844
Phone 718-980-4400
Mailing address
20 Ebbitts StStaten Island, NY 10306-4844
Phone 718-980-4400
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