MEDICARE: MISS OANA CATALINA RADU LCSW

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	1041C0700X	Clinical Social Worker	069319	NY

General Provider Information

NPI Number	:	1942345640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS OANA CATALINA RADU LCSW

Provider Business Mailing Address
First Line	:	470 LENOX AVE.
Second Line	:	APT. 14U
City	:	NEW YORK
State	:	NY
Zip	:	10037
Country	:	US
Telephone Number	:	917-507-8907
Fax Number	:

Provider Business Practice Location Address
First Line	:	247 W 135TH ST # 249
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10030-2801
Country	:	US
Telephone Number	:	646-259-2000
Fax Number	:

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

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