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NPI Code Detail

MEDICARE: MARIA ISTAFANOS DO

MEDICARE: MARIA ISTAFANOS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician25MB12983200NJ

General Provider Information

NPI Number : 1588245252
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA ISTAFANOS DO
Provider Business Mailing Address
First Line : 246 CLAFLIN BLVD
Second Line :
City : FRANKLIN SQUARE
State : NY
Zip : 11010-2318
Country : US
Telephone Number : 516-606-6480
Fax Number :
Provider Business Practice Location Address
First Line : 1 HEALTHY WAY
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-1551
Country : US
Telephone Number : 516-623-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2021
Last Update Date : 03/18/2026

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Directions to “ MARIA ISTAFANOS DO” Practice Location

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