Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 174373 | NY |
N | 111NI0900X | Internist | 174373 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | 174373 | NY |
NPI | 1467466870 |
---|---|
Provider Name | Dr. Regina Atanasio Digiovanna |
First Address | Staten Island, NY 10309-3906 |
Second Address | Staten Island, NY 10309-3906 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 10/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D93283 | (02) |