Provider Demographics
NPI:1346224904
Name:NICULAE CIOBANU PHYSICIAN PC
Entity Type:Organization
Organization Name:NICULAE CIOBANU PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT NICULAE CIOBANU PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NICULAE
Authorized Official - Middle Name:
Authorized Official - Last Name:CIOBANU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-481-0900
Mailing Address - Street 1:10 EAST 38TH STREET
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0004
Mailing Address - Country:US
Mailing Address - Phone:212-781-0900
Mailing Address - Fax:212-481-1989
Practice Address - Street 1:10 EAST 38TH STREET
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10016-0004
Practice Address - Country:US
Practice Address - Phone:212-781-0900
Practice Address - Fax:212-481-1989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-06
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RH0003X
NY143167207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00810742Medicaid