Healthcare Provider Details

I. General information

NPI: 1700972718
Provider Name (Legal Business Name): LIZICA CRISTINA TRONECI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 12/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4422 3RD AVE FL 3 SAINT BARNABAS HEALTH SYSTEM
BRONX NY
10457-2545
US

IV. Provider business mailing address

4 WARD ST
FLORAL PARK NY
11001-2818
US

V. Phone/Fax

Practice location:
  • Phone: 718-960-6158
  • Fax: 718-960-3272
Mailing address:
  • Phone: 646-734-3231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number223741-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: