Provider Demographics
NPI:1568905263
Name:UNGUREANU, IULIAN CONSTANTIN (LCSW)
Entity Type:Individual
Prefix:MR
First Name:IULIAN
Middle Name:CONSTANTIN
Last Name:UNGUREANU
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 RXR PLZ STE 405
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11556-3811
Mailing Address - Country:US
Mailing Address - Phone:914-447-8340
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:405 RXR PLZ STE 405
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11556-3811
Practice Address - Country:US
Practice Address - Phone:914-447-8340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY090764104100000X, 104100000X
NY086296-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker