Individual
DR. MICHAEL R. DIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 E AND WEST RD, WEST SENECA, NY 14224-3602
(716) 677-7122
Mailing address
1010 E AND WEST RD, WEST SENECA, NY 14224-3602
(716) 677-7122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
264666
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
264666
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04313975
—
NY
Enumeration date
06/09/2009
Last updated
04/05/2016
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