Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 048502 | NY |
N | 213EG0000X | General Practice | 048502 | NY |
Y | 1223X0400X | Orthodontists | 11372 | CT |
NPI | 1003809302 |
---|---|
Provider Name | Dr. Cristian Stanescu |
First Address | Beechhurst, NY 11357-1330 |
Second Address | Norwalk, CT 06850 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 30/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02039669 | (05) | NY |
032018 | ORTHODONTIC (01) |