Individual ProviderClaudia DistefanoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4711 Hylan Blvd, Staten Island, NY 10312-6311(718) 869-0180PECOS EnrollmentBased on the most recent information from CMS, provider Claudia Distefano does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1578101317Provider TypeIndividualFull NameDistefano, ClaudiaGenderFemaleSole ProprietorYesEnumeration Date12/11/2019Last Updated1/7/2020Contact InformationPractice LocationPractice Address4711 Hylan Blvd, Staten Island, NY 10312-6311Phone(718) 869-0180FaxUnlisted FaxMailing LocationMailing Address4711 Hylan Blvd, Staten Island, NY 10312-6311Phone(718) 869-0180FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense012659-01New York