Provider Demographics
NPI:1558337345
Name:TEODORESCU, VICTORIA J (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:J
Last Name:TEODORESCU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BOX 1263
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-5315
Mailing Address - Fax:212-987-9310
Practice Address - Street 1:5 E 98TH ST
Practice Address - Street 2:3RD FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6501
Practice Address - Country:US
Practice Address - Phone:212-241-5315
Practice Address - Fax:212-987-9310
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2010-01-25
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Provider Licenses
StateLicense IDTaxonomies
NY166700208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01863872Medicaid
NY01863872Medicaid
G73361Medicare UPIN