MEDICARE: ROBERT ALBERT DIGIACINTO M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	103664	NY

General Provider Information

NPI Number	:	1861729956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT ALBERT DIGIACINTO M.D.

Provider Business Mailing Address
First Line	:	1 ELIZABETH CT
Second Line	:
City	:	KATONAH
State	:	NY
Zip	:	10536-3303
Country	:	US
Telephone Number	:	914-962-5875
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 ELIZABETH CT
Second Line	:
City	:	KATONAH
State	:	NY
Zip	:	10536-3303
Country	:	US
Telephone Number	:	914-962-5875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2009
Last Update Date	:	11/10/2009

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