Mary C Deguardi in Johnson City - Pediatrics

Mary C Deguardi - NPI 1538111554

Mary C Deguardi is a Pediatrics in Johnson City, New York. Mary C Deguardi practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mary C Deguardi is 1538111554. The last update date is 2010-02-17.

Mary C Deguardi's current location address is 58 Lusk St, Johnson City, New York. You can contact this provider via phone number 6077636293 and fax number 6077636717. The mailing address for Mary C Deguardi is 58 Lusk St, Johnson City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary C Deguardi
Address 58 Lusk St, Johnson City, New York
Phone Number 6077636293
Fax Number 6077636717
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1538111554
Provider Enumeration Date 2006-05-17
Last Updated Date 2010-02-17

Provider Mailing Address Detail

Address 58 Lusk St
City Johnson City
State New York (NY)
Post Code 137902541
Phone Number 6077636293
Fax Number 6077636717

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 188996
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2045783 NY --

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FAQs about Mary C Deguardi

What is the unique provider identifier assigned to Mary C Deguardi?

The Mary C Deguardi has been issued the NPI (National Provider Identifier) 1538111554 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Mary C Deguardi is physically located?

The Mary C Deguardi is situated at the following address: 58 Lusk St, Johnson City, NY 137902541.

What is Mary C Deguardi's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mary C Deguardi is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

When did Mary C Deguardi receive its 1538111554 assignment?

The Mary C Deguardi was assigned its 1538111554 on 2006-05-17, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Mary C Deguardi most recently updated or revised?

The details related to Mary C Deguardi, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-17.

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