Digiacomo, Michael R.

Digiacomo, Michael R. is an individual health care provider with primary practice located at 1010 E And West Rd , West Seneca NY 14224-3602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Digiacomo, Michael R. can be contacted via phone (716) 677-7122.

Contact Information

Primary practice address
1010 E And West Rd West Seneca NY 14224-3602
Phone: (716) 677-7122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 264666 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 264666 New York

Profile Details

NPI number 1629204375
LBN Legal business name Digiacomo, Michael R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2009
Last updated Apr 5th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629204375 NPPES
New York MEDICAID 04313975

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