Healthcare Provider Details

I. General information

NPI: 1437321569
Provider Name (Legal Business Name): CRISTINA ANDUSA DEMIAN-POPESCU MD, MPH, FACOEM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2008
Last Update Date: 07/06/2023
Certification Date: 05/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WHITE SPRUCE BLVD. SUITE B
ROCHESTER NY
14623
US

IV. Provider business mailing address

400 WHITE SPRUCE BLVD. SUITE B
ROCHESTER NY
14623
US

V. Phone/Fax

Practice location:
  • Phone: 585-244-4771
  • Fax: 585-256-2271
Mailing address:
  • Phone: 585-244-4771
  • Fax: 585-256-2271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number262560
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: