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1336558477
ANITA DIGIACOMO
SHIRLEY, NY
NPI
1336558477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
302R00000X Health Maintenance Organization
(Licence: NY 434267-1)
Enumeration Date
2014-08-02
Last Update Date
2014-08-02
Business Address
-- ANITA DIGIACOMO
4 WELLWOOD DR
SHIRLEY, NY 11967-3721
Phone number: 631-399-1009
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Mailing Address
-- ANITA DIGIACOMO
4 WELLWOOD DR
SHIRLEY, NY 11967-3721
Phone number: 631-399-1009
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