Individual
MS. DONNA DIGREGORIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 675-4149
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 675-4149
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005600
NY
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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