Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jaimie A Distefano

Individual provider Specialist · NPI 1558869263

Jaimie A Distefano is a Specialist in Melville, New York. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

225 Broadhollow Rd
Melville, NY 11747-4822
Phone: (631) 385-7780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1558869263
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2018
Last updated in NPPESJanuary 29, 2018

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