Healthcare Provider Details

I. General information

NPI: 1528111093
Provider Name (Legal Business Name): ANCA ROSCA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 10/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 WILLIAM ST FL 5
NEW YORK NY
10038-2612
US

IV. Provider business mailing address

170 WILLIAM ST
NEW YORK NY
10038-2612
US

V. Phone/Fax

Practice location:
  • Phone: 646-898-4800
  • Fax:
Mailing address:
  • Phone: 646-898-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number223409
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: