Stacey Digiacomo in Port Jefferson Stati - Physician Assistant
Stacey Digiacomo - NPI 1023233103
Stacey Digiacomo is a Physician Assistant in Port Jefferson Stati, New York. Stacey Digiacomo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacey Digiacomo is 1023233103. The last update date is 2019-12-03.
Stacey Digiacomo's current location address is 4 Roosevelt Ave, Port Jefferson Stati, New York. You can contact this provider via phone number 6313310500 and fax number 6313311644. The mailing address for Stacey Digiacomo is 4 Roosevelt Ave, Port Jefferson Stati, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Digiacomo |
|---|---|
| Address | 4 Roosevelt Ave, Port Jefferson Stati, New York |
| Phone Number | 6313310500 |
| Fax Number | 6313311644 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1023233103 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2019-12-03 |
Provider Mailing Address Detail
| Address | 4 Roosevelt Ave |
|---|---|
| City | Port Jefferson Stati |
| State | New York (NY) |
| Post Code | 117763363 |
| Phone Number | 6313310500 |
| Fax Number | 6313311644 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 7238 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stacey Digiacomo by the Centers for Medicare & Medicaid Services?
The Stacey Digiacomo has been issued the NPI (National Provider Identifier) 1023233103 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Stacey Digiacomo's physical address?
The Stacey Digiacomo is physically located at 4 Roosevelt Ave, in the city of Port Jefferson Stati, NY, with the postal code 117763363.
What is Stacey Digiacomo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stacey Digiacomo's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date was the 1023233103 assigned to Stacey Digiacomo?
The Stacey Digiacomo was issued its 1023233103 on 2007-04-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Stacey Digiacomo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacey Digiacomo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-12-03.