Provider Demographics
NPI:1235503129
Name:VINDIGNI, DESIREE D (MS)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:D
Last Name:VINDIGNI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 27TH AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6728
Mailing Address - Country:US
Mailing Address - Phone:718-679-5494
Mailing Address - Fax:
Practice Address - Street 1:233 27TH AVE
Practice Address - Street 2:APT 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6728
Practice Address - Country:US
Practice Address - Phone:718-679-5494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2024-06-20
Deactivation Date:2016-08-16
Deactivation Code:
Reactivation Date:2024-06-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist