MEDICARE: MRS. SIMONA FLORINA IONESCU R.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
1	133V00000X	Registered Dietitian	925938	IL

General Provider Information

NPI Number	:	1255667531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SIMONA FLORINA IONESCU R.D.

Provider Business Mailing Address
First Line	:	22041 UNION TPKE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-3542
Country	:	US
Telephone Number	:	718-465-6444
Fax Number	:	718-465-6005

Provider Business Practice Location Address
First Line	:	22041 UNION TPKE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-3542
Country	:	US
Telephone Number	:	718-465-6444
Fax Number	:	718-465-6005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2009
Last Update Date	:	10/21/2009

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