Healthcare Provider Details

I. General information

NPI: 1427211184
Provider Name (Legal Business Name): RALUCA IOANA DOBRE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 10/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 N MIDLAND AVE NYACK HOSPITAL
NYACK NY
10960-1912
US

IV. Provider business mailing address

618 SUNNYHILL TER
RIVERVALE NJ
07675-5918
US

V. Phone/Fax

Practice location:
  • Phone: 845-348-2724
  • Fax:
Mailing address:
  • Phone: 201-307-8786
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number249336
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: