Provider Demographics
NPI:1053625319
Name:FERRE INSTITUTE
Entity type:Organization
Organization Name:FERRE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LUBA
Authorized Official - Middle Name:
Authorized Official - Last Name:DJURDJINOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:607-724-4308
Mailing Address - Street 1:124 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-3102
Mailing Address - Country:US
Mailing Address - Phone:607-724-4308
Mailing Address - Fax:
Practice Address - Street 1:124 FRONT ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-3102
Practice Address - Country:US
Practice Address - Phone:607-724-4308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170300000XOther Service ProvidersGenetic Counselor, MSGroup - Single Specialty