Healthcare Provider Details

I. General information

NPI: 1851598361
Provider Name (Legal Business Name): NICULAE CIOBANU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date: 09/21/2007
Reactivation Date: 11/19/2007

III. Provider practice location address

10 EAST 38TH STREET 7TH FLOOR
NEW YORK CITY NY
10016-0004
US

IV. Provider business mailing address

10 EAST 38TH STREET 7TH FLOOR
NEW YORK CITY NY
10016-0004
US

V. Phone/Fax

Practice location:
  • Phone: 212-481-0900
  • Fax: 212-481-1989
Mailing address:
  • Phone: 212-481-0900
  • Fax: 212-481-1989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number143167
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: