Provider Demographics
NPI:1760456552
Name:BURUIANA, ELENA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:ELENA MARIA
Middle Name:
Last Name:BURUIANA
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 1:328 E 75TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3317
Mailing Address - Country:US
Mailing Address - Phone:212-535-6737
Mailing Address - Fax:
Practice Address - Street 1:30 EAST 60TH STREET
Practice Address - Street 2:808
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1064
Practice Address - Country:US
Practice Address - Phone:212-535-6737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212492207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5P9431Medicare PIN