Digiacomo, Stacey

Digiacomo, Stacey is an individual health care provider with primary practice located at 4 Roosevelt Ave , Port Jefferson Station NY 11776-3363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Digiacomo, Stacey can be contacted via phone (631) 331-0500.

Contact Information

Primary practice address
4 Roosevelt Ave Port Jefferson Station NY 11776-3363
Phone: (631) 331-0500
Fax: (631) 331-1644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007238 New York

Profile Details

NPI number 1023233103
LBN Legal business name Digiacomo, Stacey
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Dec 3rd, 2019 - about 5 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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