Provider Demographics
NPI:1639932015
Name:DIGAMO, MAY LENETTE MARCERA (RN)
Entity Type:Individual
Prefix:
First Name:MAY LENETTE
Middle Name:MARCERA
Last Name:DIGAMO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2432 LURTING AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-4427
Mailing Address - Country:US
Mailing Address - Phone:718-790-6067
Mailing Address - Fax:
Practice Address - Street 1:3304 WATERBURY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1554
Practice Address - Country:US
Practice Address - Phone:718-931-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY808561163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse