Healthcare Provider Details

I. General information

NPI: 1568692424
Provider Name (Legal Business Name): RADU APOSTOL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2009
Last Update Date: 08/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2601 OCEAN PKWY OB/GYN OFFICE, 8TH FLOOR, ROOM 8N53
BROOKLYN NY
11235-7745
US

IV. Provider business mailing address

2601 OCEAN PKWY OB/GYN OFFICE, 8TH FLOOR, ROOM 8N53
BROOKLYN NY
11235-7745
US

V. Phone/Fax

Practice location:
  • Phone: 718-616-3257
  • Fax: 718-616-3260
Mailing address:
  • Phone: 718-616-3257
  • Fax: 718-616-3260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number047622
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number267420
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: