Provider Demographics
NPI:1457308652
Name:FERDMAN, BARBARA R (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:R
Last Name:FERDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 CHELSEA PARK
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2877
Mailing Address - Country:US
Mailing Address - Phone:585-217-7614
Mailing Address - Fax:
Practice Address - Street 1:119 NORTHPORT AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6069
Practice Address - Country:US
Practice Address - Phone:207-505-4567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2757152080P0202X
MEMD269502080P0202X
IN01077647A2080P0203X, 2080P0202X
NY2577152080P0203X
MT609612080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO205908213Medicaid
935800381Medicare PIN
G63249Medicare UPIN