Individual
DESIREE MARIA FERDINANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(518) 650-7503
Mailing address
PO BOX 392587, PITTSBURGH, PA 15251-9587
(844) 225-7619
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2023050269
MO
2085R0202X
Diagnostic Radiology Physician
2023050269
MO
2085R0202X
Diagnostic Radiology Physician
Primary
310342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310342
STATE MEDICAL LICENSE
NY
Enumeration date
05/31/2018
Last updated
12/05/2024
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