Provider Demographics
NPI:1851598361
Name:CIOBANU, NICULAE (MD)
Entity Type:Individual
Prefix:
First Name:NICULAE
Middle Name:
Last Name:CIOBANU
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 1:10 EAST 38TH STREET
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0004
Mailing Address - Country:US
Mailing Address - Phone:212-481-0900
Mailing Address - Fax:212-481-1989
Practice Address - Street 1:10 EAST 38TH STREET
Practice Address - Street 2:7TH FLOOR
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10016-0004
Practice Address - Country:US
Practice Address - Phone:212-481-0900
Practice Address - Fax:212-481-1989
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-11-19
Deactivation Date:2007-09-21
Deactivation Code:
Reactivation Date:2007-11-19
Provider Licenses
StateLicense IDTaxonomies
NY143167207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB19507Medicare UPIN
83A441Medicare PIN