Stacey Digiacomo, P.A.
NPI #1023233103 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1023233103
- Entity Type
- Individual
- Name
- Stacey Digiacomo, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Dec 3, 2019
Practice Location
- Address
- 4 ROOSEVELT AVE
- State
- New York
- ZIP Code
- 11776-3363
- Phone
- (631) 331-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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