National Provider Identifier

Michael R. Digiacomo, MD

Michael R. Digiacomo, MD is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician in West Seneca, NY and a listed phone number of (716) 677-7122.

NPI 1629204375West Seneca, NYChild & Adolescent Psychiatry Physician

Profile Overview

NPI
1629204375
Provider Type
Individual
Primary Specialty
Child & Adolescent Psychiatry Physician
Enumeration Date
June 09, 2009
Last Updated
April 05, 2016

Practice Location

  • 1010 E And West RD
  • West Seneca, NY 14224-3602

Phone: (716) 677-7122

Specialties

  • Child & Adolescent Psychiatry Physician (2084P0804X)
  • Psychiatry Physician (2084P0800X)
Full Record
NPI
1629204375
Entity Type
Individual
Last Name
Digiacomo
First Name
Michael
Middle Name
R.
Name Prefix
Dr.
Credential
MD
Mailing Street Address
1010 E And West RD
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3602
Mailing Country
US
Mailing Phone
(716) 677-7122
Practice Street Address
1010 E And West RD
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3602
Practice Country
US
Practice Phone
(716) 677-7122
Enumeration Date
June 09, 2009
Last Updated
April 05, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Child & Adolescent Psychiatry Physician (2084P0804X), Psychiatry Physician (2084P0800X)
Other Identifiers
04313975 (NY)