Provider Demographics
NPI:1760600787
Name:CARPENISEANU, ADRIANA (OD)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:
Last Name:CARPENISEANU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W 80TH ST
Mailing Address - Street 2:APT 2F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-7102
Mailing Address - Country:US
Mailing Address - Phone:212-580-0010
Mailing Address - Fax:
Practice Address - Street 1:7911 41ST AVE
Practice Address - Street 2:SUITE A-107
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1258
Practice Address - Country:US
Practice Address - Phone:718-205-2888
Practice Address - Fax:718-205-2855
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007132152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist