Provider Demographics
NPI:1154301737
Name:CARNICIU, STERE (MD)
Entity Type:Individual
Prefix:
First Name:STERE
Middle Name:
Last Name:CARNICIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14 CHURCH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4831
Mailing Address - Country:US
Mailing Address - Phone:914-923-9414
Mailing Address - Fax:914-923-9412
Practice Address - Street 1:20 BEACON HILL DR
Practice Address - Street 2:SUITE2-B
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2402
Practice Address - Country:US
Practice Address - Phone:914-591-6888
Practice Address - Fax:914-591-7938
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2010-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY204658207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01694682Medicaid
1154301737OtherNPI
NY01694682Medicaid
1154301737OtherNPI