Degiacomo, Cory R.

Degiacomo, Cory R. is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Degiacomo, Cory R. can be contacted via phone (860) 646-1222.

Contact Information

Primary practice address
71 Haynes St Manchester CT 06040-4131
Phone: (860) 646-1222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 001079 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4461 Connecticut

Profile Details

NPI number 1649712894
LBN Legal business name Degiacomo, Cory R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2016
Last updated Apr 22nd, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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