Individual
MARY C DEGUARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 - 42 MITCHELL AVE, BINGHAMTON PEDIATRICS, BINGHAMTON, NY 13903
(607) 762-2468
Mailing address
58 LUSK ST, JOHNSON CITY, NY 13790-2541
(607) 763-6293
(607) 763-6717
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188996
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02045783
—
NY
Enumeration date
05/17/2006
Last updated
02/17/2010
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