MEDICARE: DR. DANITA IONESCU MD

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	207Q00000X	Family Medicine Physician	227856	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7920467	OTHER	NY	AETNA PPO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	112488918	OTHER	NY	AETNA HMO
4	159267	OTHER	NY	VITRA
5	3360694	OTHER	NY	UNITED HEALTH CARE
6	DI05329C10	OTHER	NY	BLUE CROSS BLUE SHIELD
7	1831760	OTHER	NY	CIGNA
8	5900249	OTHER	NY	GHI PPO
9	P3058256	OTHER	NY	OXFORD
10	79373	OTHER	NY	GHI HMO

General Provider Information

NPI Number	:	1538244231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANITA IONESCU MD

Provider Business Mailing Address
First Line	:	365 BROADWAY
Second Line	:
City	:	AMITYVILLE
State	:	NY
Zip	:	11701-2927
Country	:	US
Telephone Number	:	631-464-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	365 BROADWAY
Second Line	:
City	:	AMITYVILLE
State	:	NY
Zip	:	11701-2716
Country	:	US
Telephone Number	:	631-464-4545
Fax Number	:

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	03/05/2015

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