Provider Demographics
NPI:1295972180
Name:DIGIACOMO, ESTHER ELIZABETH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:ELIZABETH
Last Name:DIGIACOMO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ESTHER
Other - Middle Name:ELIZABETH
Other - Last Name:SCHLEGEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:233 COLLEGE AVE.
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3384
Mailing Address - Country:US
Mailing Address - Phone:717-327-2962
Mailing Address - Fax:717-358-0803
Practice Address - Street 1:233 COLLEGE AVE.
Practice Address - Street 2:SUITE 201
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3384
Practice Address - Country:US
Practice Address - Phone:717-327-2962
Practice Address - Fax:717-358-0803
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AM0700X
CT002223363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT002223OtherPA LICENSE
1085684OtherNCCPA CERTIFICATION