Amy Destefano, RD is a
Dietitian, Registered based in Prospect, Connecticut. Amy Destefano is licensed to practice in Connecticut (license number 002224) and her current practice location is
2 Karyl Ln, Prospect, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 928-9514.
NPI number for Amy Destefano is 1972423010 and her current mailing address is 2 Karyl Ln, Prospect, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972423010.
Healthcare Provider's Profile
| Full Name | Amy Destefano |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 2 Karyl Ln, Prospect, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972423010
- Provider Enumeration Date: 07/20/2026
- Last Update Date: 07/20/2026
Medical Identifiers
Medical identifiers for Amy Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972423010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 002224 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Destefano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amy Destefano, RD 2 Karyl Ln, Prospect, CT 06712-1203 Ph: Not Available | Amy Destefano, RD 2 Karyl Ln, Prospect, CT 06712-1203 Ph: (203) 928-9514 |
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