Provider Demographics
NPI:1558310292
Name:NEGOI, DANA GABRIELA (MD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:GABRIELA
Last Name:NEGOI
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 1:201 DATES DR
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-1345
Mailing Address - Country:US
Mailing Address - Phone:607-273-9111
Mailing Address - Fax:
Practice Address - Street 1:201 DATES DR
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1345
Practice Address - Country:US
Practice Address - Phone:607-273-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0420012028207RN0300X
MO2004001473207RN0300X
NY300942-01207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00415660OtherRAILROAD MEDICARE
MOP00160104OtherRR MEDICARE
MO209002815Medicaid
MO921041442Medicare PIN
MO921045236Medicare PIN
I16373Medicare UPIN