STACEY DIGIACOMO, P.A.
Physician Assistant
Active
Individual
NPI: 1023233103
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 007238 (NY) |
Frequently Asked Questions
NPI 1023233103 is the National Provider Identifier for STACEY DIGIACOMO, P.A., a Physician Assistant provider located in Port Jefferson Station, NY. This NPI was enumerated on April 16, 2007.
STACEY DIGIACOMO, P.A. practices at 4 ROOSEVELT AVE, Port Jefferson Station, NY 11776.
Quick Facts
- NPI
- 1023233103
- Type
- Individual
- Enumerated
- Apr 16, 2007
- Last Updated
- Dec 3, 2019
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