MS. CATHY DISTEFANO (NPI# 1881193407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881193407 |
| Entity Type | Individual |
| Full Name | MS. CATHY DISTEFANO |
| Credential | OMT |
| Practice Address |
5 Wimbledon Ct Woodbury NY 11797-2411 |
| Practice Telephone | 5165101157 |
| Mailing Telephone | 5165101157 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | 018374-1 | NY | Dental Providers |
| Y | 124Q00000X | Dental Hygienist | 018374 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OMT | 018374 | 01 |
| NY | 018374-1 | 05 | |
| NY | 018374 | 05 | |
| NY | 9478748 | 05 |
| Street Address |
5 WIMBLEDON CT |
| City | WOODBURY |
| State | NY |
| Zip Code | 11797-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
| 1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
| 1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
| 1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
| 1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
| 1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
| 1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
| 1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
| 1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
| 1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
| Find all providers in zip 11797 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588052377 | Jody Milbert Lundell | Dental Hygienist | 3664 Mount Vernon Ln, Woodbury, MN 55129-9382 | 2014-12-31 |
| 1568793768 | Crystal Jane Rosenbrook | Dental Hygienist | 3194 Leyland Trl, Woodbury, MN 55125-3558 | 2010-01-27 |
| 1285731679 | Jean Ellen Anderson | Dental Hygienist | 1789 Woodlane Drive, Suite D, Woodbury, MN 55125 | 2006-09-20 |
| 1487759411 | Sheila Maureen Smith | Dental Hygienist | 1789 Woodlane Dr Ste D, Woodbury, MN 55125-3910 | 2006-09-14 |
| 1578897328 | Annie Marie Lutterman | Dental Hygienist | 1789 Woodlane Drive, Suite D, Woodbury, MN 55125 | 2009-09-28 |
| 1770816001 | Amanda Jane Hanson | Dental Hygienist | 1789 Woodlane Dr, Suite D, Woodbury, MN 55125-3910 | 2009-09-18 |
| 1447404900 | Sarah Jeanette Bush | Dental Hygienist | 1789 Woodlane Dr Ste D, Woodbury, MN 55125-3910 | 2008-11-11 |
| 1295921047 | Jacqueline Lee Kimber | Dental Hygienist | 1789 Woodlane Dr, Suite D, Woodbury, MN 55125-3910 | 2007-09-14 |
| 1114112349 | Molly Therese Verhelst | Dental Hygienist | 1789 Woodlane Dr, Suite D, Woodbury, MN 55125-3910 | 2007-09-11 |
| 1891895215 | Kristin Kay Muhich | Dental Hygienist | 1789 Woodlane Dr, Suite D, Woodbury, MN 55125-3910 | 2006-09-25 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on MS. CATHY DISTEFANO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.