Provider Demographics
NPI:1053472043
Name:CRISTINOIU, LUCIA LILIANA (MD)
Entity Type:Individual
Prefix:MRS
First Name:LUCIA
Middle Name:LILIANA
Last Name:CRISTINOIU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W 96 STREET - 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-663-3420
Mailing Address - Fax:347-587-4021
Practice Address - Street 1:145 W 96 ST - 1C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-663-3420
Practice Address - Fax:347-587-4021
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY181903208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01297847Medicaid
NYF35371Medicare UPIN
F35371Medicare UPIN
02G552Medicare PIN