National Provider Identifier
Paul Distefano, MS
Paul Distefano, MS is listed in the NPPES registry with a primary specialty of School Psychologist in Rochester, NY and a listed phone number of (585) 385-6287.
Profile Overview
- NPI
- 1396405338
- Provider Type
- Individual
- Primary Specialty
- School Psychologist
- Enumeration Date
- December 17, 2021
- Last Updated
- July 21, 2022
Practice Location
- 700 Lac De Ville Blvd
- Rochester, NY 14618-5665
Phone: (585) 385-6287
Mailing Address
- 300 Chelmsford RD
- Rochester, NY 14618-1757
Specialties
- School Psychologist (103TS0200X)
Full Record
- NPI
- 1396405338
- Entity Type
- Individual
- Last Name
- Distefano
- First Name
- Paul
- Credential
- MS
- Mailing Street Address
- 300 Chelmsford RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-1757
- Mailing Country
- US
- Mailing Phone
- (585) 733-2980
- Practice Street Address
- 700 Lac De Ville Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5665
- Practice Country
- US
- Practice Phone
- (585) 385-6287
- Enumeration Date
- December 17, 2021
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- December 17, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- School Psychologist (103TS0200X)