Provider Information for 1184836959
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Ms. JENNIFER MICHELLE DIGIOVANNI LMSW
Sex: Female
NPI: 1184836959
Last Updated: 2016-05-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1184836959 | ||||||||
| Enumeration Date | 2007-05-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 596 SAINT JAMES, NY 11780-0596 United States Phone: 631-988-3077 | Fax: | ||||||||
| Primary Practice Address | 11 ROUTE 111 SMITHTOWN, NY 11787-3712 United States Phone: 631-920-8351 | Fax:631-920-8353 | ||||||||
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