Individual
CHARLENE MARIE DIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 VASCELLO RD, NEW WINDSOR, NY 12553-5947
(845) 781-8989
Mailing address
4 VASCELLO RD, NEW WINDSOR, NY 12553-5947
(845) 781-8989
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
363046-1
NY
Other
Enumeration date
12/31/2017
Last updated
12/31/2017
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