Provider Demographics
NPI:1508467317
Name:TUDOR ONISEI MEDICAL, P.C.
Entity Type:Organization
Organization Name:TUDOR ONISEI MEDICAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:TUDOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ONISEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-830-0402
Mailing Address - Street 1:PO BOX 270
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-0270
Mailing Address - Country:US
Mailing Address - Phone:631-264-2030
Mailing Address - Fax:631-264-1418
Practice Address - Street 1:9229 QUEENS BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1099
Practice Address - Country:US
Practice Address - Phone:718-897-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty