IndividualActive
Alessandra Distefano, PA-C
NPI 1235917626 · Surgical Physician Assistant · New York, NY
Provider details
- NPI number
- 1235917626
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5141 Broadway
New York, NY 10034-1159
Phone: (347) 804-7142
Approximate (ZIP-level) locationGet directions
Mailing address
4711 Hylan Blvd
Staten Island, NY 10312-6311
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.