Provider Demographics
NPI:1093048902
Name:STANCA, CARMEN MAGDALENA (MD)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:MAGDALENA
Last Name:STANCA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:STONY BROOK INTERNISTS UFPC SBUMC
Mailing Address - Street 2:HSC LEVEL 17 RM 060
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8173
Mailing Address - Country:US
Mailing Address - Phone:631-444-1665
Mailing Address - Fax:
Practice Address - Street 1:530 1ST AVE STE 4J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-3643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY259189207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology