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General NPI Number Information
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NPI Number | 1366409229
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Entity Type | Individual
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Provider Name | MICHAEL A DIGIORNO D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 1088 NORTH BROADWAY
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City | YONKERS
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State | NY
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Zip | 10701-0000
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Country | US
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Telephone | 914-207-0004
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Fax | 914-965-0107
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Provider Business Mailing Address
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Address Line | P.O. BOX 998 ATTN: : RIVERSIDE MGT. SERVICES ORG.
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City | YONKERS
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State | NY
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Zip | 10703-0998
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Country | US
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Telephone | 914-966-9787
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Fax | 914-966-9793
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 229528
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License Number State | NY
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