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NPI Code Detail

MEDICARE: MRS. ANA TANASE-TEACA M.D.

MEDICARE: MRS. ANA TANASE-TEACA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician247249NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1247249OTHERNYLICENSE

General Provider Information

NPI Number : 1144343401
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANA TANASE-TEACA M.D.
Provider Business Mailing Address
First Line : 6040 60TH DR
Second Line : #21
City : MASPETH
State : NY
Zip : 11378-3507
Country : US
Telephone Number : 347-987-3446
Fax Number :
Provider Business Practice Location Address
First Line : 48 CEDAR ST
Second Line : BUENAVIDA CONTINUING CARE AND REHABILITATION CENTER
City : BROOKLYN
State : NY
Zip : 11221-3253
Country : US
Telephone Number : 718-928-3461
Fax Number : 718-928-3496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2007
Last Update Date : 01/13/2015

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