STACEY DIGIACOMO

PORT JEFFERSON STATION, NY
NPI1023233103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  007238)
Enumeration Date2007-04-16
Last Update Date2019-12-03
Business Address
STACEY DIGIACOMO P.A.
4 ROOSEVELT AVE
PORT JEFFERSON STATION, NY 11776-3363
Phone number: 631-331-0500
Mailing Address
STACEY DIGIACOMO P.A.
900 MERCHANTS CONCOURSE STE 216
WESTBURY, NY 11590-5114
Phone number: 516-226-8373
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