Provider Demographics
NPI:1598823692
Name:TRANDAFIRESCU MEDICAL SERVICE PC
Entity Type:Organization
Organization Name:TRANDAFIRESCU MEDICAL SERVICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PULMONARY
Authorized Official - Prefix:
Authorized Official - First Name:THEO
Authorized Official - Middle Name:
Authorized Official - Last Name:TRANDAFIRESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-465-4000
Mailing Address - Street 1:21616 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3525
Mailing Address - Country:US
Mailing Address - Phone:718-465-4000
Mailing Address - Fax:718-776-6823
Practice Address - Street 1:21616 UNION TPKE
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3525
Practice Address - Country:US
Practice Address - Phone:718-465-4000
Practice Address - Fax:718-776-6823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230548174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty