Individual
EMMA ROSE DIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-4079
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
01/14/2019
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