| Nicole Distefano, | |
|
159 Harding Ave, Clifton, NJ 07011-2624 | |
| (201) 898-1490 | |
| Not Available |
| Full Name | Nicole Distefano |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 159 Harding Ave, Clifton, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730804006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Distefano, 159 Harding Ave, Clifton, NJ 07011-2624 Ph: (201) 898-1490 | Nicole Distefano, 159 Harding Ave, Clifton, NJ 07011-2624 Ph: (201) 898-1490 |
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