MEDICARE: JON STANCIU 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
1	207R00000X	Internal Medicine Physician	248466	NY

General Provider Information

NPI Number	:	1790951705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JON STANCIU M.D.

Provider Business Mailing Address
First Line	:	126 GREENPOINT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-2202
Country	:	US
Telephone Number	:	718-389-0100
Fax Number	:	718-389-9616

Provider Business Practice Location Address
First Line	:	126 GREENPOINT AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222
Country	:	US
Telephone Number	:	718-389-0100
Fax Number	:	718-389-9616

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	03/17/2026

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