Provider Demographics
NPI:1003880188
Name:MEROVICI, FLORIN E (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORIN
Middle Name:E
Last Name:MEROVICI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 GREENPOINT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-2202
Mailing Address - Country:US
Mailing Address - Phone:718-389-0100
Mailing Address - Fax:718-389-9616
Practice Address - Street 1:690 METROPOLITAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-3712
Practice Address - Country:US
Practice Address - Phone:718-388-8888
Practice Address - Fax:718-388-3709
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172240207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01127453Medicaid
NY05E271Medicare ID - Type Unspecified
NYE12698Medicare UPIN