Healthcare Provider Details

I. General information

NPI: 1952543647
Provider Name (Legal Business Name): COMANA MONICA CIOROIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 03/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 W 168TH ST
NEW YORK NY
10032-3726
US

IV. Provider business mailing address

710 W 168TH ST
NEW YORK NY
10032-3726
US

V. Phone/Fax

Practice location:
  • Phone: 646-426-3876
  • Fax: 212-305-4268
Mailing address:
  • Phone: 646-426-3876
  • Fax: 212-305-4268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number264893
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: