National Provider Identifier
Michele L Destino
Michele L Destino is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Youngstown, NY and a listed phone number of (716) 438-8140.
Profile Overview
- NPI
- 1700632072
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- April 27, 2024
- Last Updated
- April 27, 2024
Practice Location
- 478 Riverwalk Dr
- Youngstown, NY 14174-9603
Phone: (716) 438-8140
Specialties
- Early Intervention Provider Agency (252Y00000X)
Full Record
- NPI
- 1700632072
- Entity Type
- Individual
- Last Name
- Destino
- First Name
- Michele
- Middle Name
- L
- Name Prefix
- Mrs.
- Mailing Street Address
- 478 Riverwalk Dr
- Mailing City
- Youngstown
- Mailing State
- NY
- Mailing ZIP Code
- 14174-9603
- Mailing Country
- US
- Mailing Phone
- (716) 438-8140
- Practice Street Address
- 478 Riverwalk Dr
- Practice City
- Youngstown
- Practice State
- NY
- Practice ZIP Code
- 14174-9603
- Practice Country
- US
- Practice Phone
- (716) 438-8140
- Enumeration Date
- April 27, 2024
- Last Updated
- April 27, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 27, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X)