Individual
CARALYN DIGANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6277 JERICHO TPKE, COMMACK, NY 11725-2837
(631) 462-6644
Mailing address
6277 JERICHO TPKE, COMMACK, NY 11725-2837
(631) 462-6644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
659540
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307596
NY
Other
Enumeration date
07/19/2015
Last updated
05/08/2016
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