Healthcare Provider Details

I. General information

NPI: 1952447419
Provider Name (Legal Business Name): DANIELA IULIA SIMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELA IULIA BOGDAN

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 04/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NEW SCOTLAND AVE MC 88 PEDIATRIC ENDOCRINOLOGY
ALBANY NY
12208-3412
US

IV. Provider business mailing address

47 NEW SCOTLAND AVE MC 88 PEDIATRIC ENDOCRINOLOGY
ALBANY NY
12208-3412
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-6463
  • Fax: 410-955-9773
Mailing address:
  • Phone: 410-955-6463
  • Fax: 410-955-9773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number253601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: