Provider Demographics
NPI:1235467812
Name:DAVIDESCU, ANDA BOGDANA (MD)
Entity Type:Individual
Prefix:
First Name:ANDA
Middle Name:BOGDANA
Last Name:DAVIDESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANDA
Other - Middle Name:BOGDANA
Other - Last Name:CRISTIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:506 LENOX AVE
Mailing Address - Street 2:HARLEM HOSPITAL CENTER PMR DEPARTMENT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1802
Mailing Address - Country:US
Mailing Address - Phone:212-939-1000
Mailing Address - Fax:
Practice Address - Street 1:506 LENOX AVE
Practice Address - Street 2:HARLEM HOSPITAL CENTER PMR DEPARTMENT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-19
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY262069208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation