Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD12853 | RI |
N | 111NI0900X | Internist | MD12853 | RI |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 267316 | NY |
NPI | 1033388376 |
---|---|
Provider Name | Dr. Nicoleta Ionica |
First Address | Bay Shore, NY 11706-8427 |
Second Address | Bay Shore, NY 11706-8427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2008 |
Last Update Date | 27/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A400079047 | MEDICARE (01) | NY |