Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 236243 | NY |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 236243 | NY |
NPI | 1871673335 |
---|---|
Provider Name | Bogdan Andrei Grigorescu |
First Address | Bethpage, NY 11714-3471 |
Second Address | Mineola, NY 11501-4064 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002616801 | (05) | NY |