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General NPI Number Information
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NPI Number | 1598823692
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Entity Type | Organization
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Legal Business Name | TRANDAFIRESCU MEDICAL SERVICE PC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 12/18/2019
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Provider Practice Location Address
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Address Line | 21616 UNION TPKE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3525
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Country | US
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Telephone | 718-465-4000
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Fax | 718-776-6823
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Provider Business Mailing Address
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Address Line | 21616 UNION TPKE
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City | OAKLAND GARDENS
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State | NY
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Zip | 11364-3525
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Country | US
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Telephone | 718-465-4000
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Fax | 718-776-6823
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Authorized Official
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Title or Position | PULMONARY
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Name | THEO TRANDAFIRESCU
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Credential | MD
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Telephone | 718-465-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 230548
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License Number State | NY
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