Provider Demographics
NPI:1417191370
Name:CIUMPAVU, LUMINITA (MD)
Entity Type:Individual
Prefix:
First Name:LUMINITA
Middle Name:
Last Name:CIUMPAVU
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 1:1730 MULFORD AVE
Mailing Address - Street 2:APT # 2L
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-4318
Mailing Address - Country:US
Mailing Address - Phone:347-293-8006
Mailing Address - Fax:
Practice Address - Street 1:1500 WATERS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2723
Practice Address - Country:US
Practice Address - Phone:718-862-4578
Practice Address - Fax:718-862-4862
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry