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Richard J Distefano, MD
Orthopedic Surgery Physician in Syracuse, New York
NPI 1972608586

Richard J Distefano is a Orthopedic Surgery Physician based in East Syracuse, NY. Richard J Distefano practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Richard J Distefano is 1972608586 and holds a License No. 187682 (New York).

The current practice location address for Richard J Distefano is 5719 Widewaters Pkwy, Syracuse, NY and can be reached out via phone at 315-251-3100 and via fax at 315-449-9923. You can also correspond with Richard J Distefano through the mailing address at 5824 WIDEWATERS PKWY, EAST SYRACUSE, NY - 13057-3072 (mailing address contact number: 315-251-3105).

Location: 5719 Widewaters Pkwy, Syracuse, NY, 13057-3072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972608586
Provider Name
Richard J Distefano
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5719 Widewaters Pkwy, Syracuse, NY, 13057-3072
Phone Number
315-251-3100
Fax Number
315-449-9923
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01556927 05 NY
institution
Provider Business Practice Location Address Details
Address
5719 Widewaters Pkwy
City
Syracuse
State
New York
Zip
13214-1985
Phone Number
315-251-3100
Fax Number
315-449-9923
person
Provider Business Mailing Address Details
Address
5824 Widewaters Pkwy
City
East Syracuse
State
New York
Zip
13057-3072
Phone Number
315-251-3105
Fax Number
315-552-6018
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
187682 (New York)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
187682 (New York)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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