Provider Demographics
NPI:1730142936
Name:SMINA, MIHAI (MD)
Entity Type:Individual
Prefix:
First Name:MIHAI
Middle Name:
Last Name:SMINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 HOYT ST
Mailing Address - Street 2:3 H
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5759
Mailing Address - Country:US
Mailing Address - Phone:718-409-2222
Mailing Address - Fax:
Practice Address - Street 1:2016 BRONXDALE AVE
Practice Address - Street 2:301
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3388
Practice Address - Country:US
Practice Address - Phone:718-409-2222
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001635-1207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02395417Medicaid
NYH72310Medicare UPIN
NY02395417Medicaid