Provider Demographics
NPI:1588809602
Name:DUMITRESCU, CLAUDIA ELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:ELENA
Last Name:DUMITRESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CLAUDIA
Other - Middle Name:ELENA
Other - Last Name:MOSTEANU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:133 PARK ST
Mailing Address - Street 2:ALICE HYDE MEDICAL CENTER
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-1243
Mailing Address - Country:US
Mailing Address - Phone:518-481-2677
Mailing Address - Fax:
Practice Address - Street 1:133 PARK ST
Practice Address - Street 2:ALICE HYDE MEDICAL CENTER
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-1243
Practice Address - Country:US
Practice Address - Phone:518-481-2678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251292207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00354114Medicaid