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Contact Information

GREGORY DIGIACOMO, PhD
29 ABBOT RD
SMITHTOWN, NY11787-2322
 Phone: 631-793-9156
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

103TS0200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GREGORY DIGIACOMO · (Male)

NPI Number 1477993178
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/27/2013
Last updated 10/23/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 021801
  • NY License # 749032131
  • WA License # PY60632239
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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