Active NPIIndividual provider

Agnes Digiacomo

Audiologist in Southport, Connecticut

NPI Number1205877057
Practice location
2600 Post RD, Southport, CT 06890-1258
Fax
203-256-3346
Last updated
January 31, 2022

Agnes Digiacomo is an Audiologist based in Southport, CT. Agnes Digiacomo practices in Southport, CT. The NPI Number for Agnes Digiacomo is 1205877057 and holds a License No. 41YA00061000 (NJ). The current practice location address for Agnes Digiacomo is 2600 Post RD, Southport, CT 06890-1258 and can be reached out via phone at 203-256-3338 and via fax at 203-256-3346.

Provider Profile Details

NPI Number
1205877057
Provider Name
Agnes Digiacomo
Provider Entity Type
Individual
Gender
Female
Address
2600 Post RD, Southport, CT 06890-1258
Phone Number
203-256-3338
Fax Number
203-256-3346
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2006
Last Update Date
January 31, 2022
Certification Date
January 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
2600 Post RD
Southport, CT 06890-1258
Zip
06890-1258
Phone Number
203-256-3338
Fax Number
203-256-3346
Southport, CT 06890Get directions →

Provider Business Mailing Address Details

Address
2600 Post RD
Southport, CT 06890-1258
City
Southport
State
CT
Zip
06890-1258
Phone Number
203-256-3338

License Information

License Number (1)
41YA00061000
License State (1)
NJ
Taxonomy (1)
Audiologist · 231H00000X
License Number (2)
000467
License State (2)
CT
Taxonomy (2)
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Agnes Digiacomo?

The NPI number of Agnes Digiacomo is 1205877057. It was assigned on June 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Agnes Digiacomo?

Agnes Digiacomo is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in NJ under license number 41YA00061000.

Where does Agnes Digiacomo practice?

The practice location is 2600 Post RD, Southport, CT 06890-1258. The office can be reached at 203-256-3338 (phone) or 203-256-3346 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205877057 directly on the NPPES registry website.

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