Individual
GENE MICHAEL DIGIACOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
770 E 176TH ST, BRONX, NY 10460-4617
(718) 466-9554
Mailing address
770 E 176TH ST, BRONX, NY 10460-4617
(718) 466-9554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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