Individual
DR. MARIE E. DEGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
8114 3RD AVE, BROOKLYN, NY 11209-3804
(718) 238-5120
(718) 238-5129
Mailing address
8114 3RD AVE, BROOKLYN, NY 11209-3804
(718) 238-5120
(718) 238-5129
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X3327
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00177779
PTAN/PALMETTO GBA
NY
Enumeration date
10/03/2006
Last updated
12/12/2007
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