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NPI Code Detail

MEDICARE: DR. REGINA ATANASIO DIGIOVANNA MD

MEDICARE: DR. REGINA ATANASIO DIGIOVANNA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RA0401XAddiction Medicine (Internal Medicine) Physician174373NY
2207R00000XInternal Medicine Physician174373NY

General Provider Information

NPI Number : 1467466870
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REGINA ATANASIO DIGIOVANNA MD
Provider Business Mailing Address
First Line : 392 SEGUINE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3906
Country : US
Telephone Number : 718-226-2824
Fax Number : 718-228-2954
Provider Business Practice Location Address
First Line : 392 SEGUINE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3906
Country : US
Telephone Number : 718-226-2824
Fax Number : 718-226-2954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 10/10/2019

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