1649320243 NPI number — PARSEMOME MENTAL HEALTH COUNSELING, P.C.

Table of content: EMMA ROSE DIGIACOMO PA (NPI 1114442704)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649320243 NPI number — PARSEMOME MENTAL HEALTH COUNSELING, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PARSEMOME MENTAL HEALTH COUNSELING, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649320243
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
778 WHISKEY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIDGE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11961-1153
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-644-3170
Provider Business Mailing Address Fax Number:
631-849-1310

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
778 WHISKEY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIDGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11961-1153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-644-3170
Provider Business Practice Location Address Fax Number:
631-849-1310
Provider Enumeration Date:
01/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN-SUTNICK
Authorized Official First Name:
YVETTE
Authorized Official Middle Name:
EUGENIA
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
347-551-0357

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  002124 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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