Provider Demographics
NPI:1710987565
Name:DOGARU-LUNGU, SORINA VIORICA (MD)
Entity Type:Individual
Prefix:
First Name:SORINA
Middle Name:VIORICA
Last Name:DOGARU-LUNGU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27111 76TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1436
Mailing Address - Country:US
Mailing Address - Phone:718-289-2280
Mailing Address - Fax:718-289-2345
Practice Address - Street 1:27111 76TH AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1436
Practice Address - Country:US
Practice Address - Phone:718-289-2280
Practice Address - Fax:718-289-2345
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02580945Medicaid
NYG85120Medicare UPIN
NY02580945Medicaid