Provider Demographics
NPI:1629057633
Name:BARBULESCU, ANCA MADALINA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ANCA
Middle Name:MADALINA
Last Name:BARBULESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10525 67TH RD
Mailing Address - Street 2:APT #3B
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2354
Mailing Address - Country:US
Mailing Address - Phone:718-490-0278
Mailing Address - Fax:
Practice Address - Street 1:5314 ROOSEVELT AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-4239
Practice Address - Country:US
Practice Address - Phone:718-205-6160
Practice Address - Fax:718-205-6180
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242088208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0288175Medicaid
IA36081OtherBLUE CROSS IOWA
IA35114OtherSTATE LIC
NY03062700Medicaid
NY242088OtherNY STATE LICENSE
NY242088OtherNY STATE LICENSE
IA35114OtherSTATE LIC
IAH89549Medicare UPIN