Provider Demographics
NPI:1871631556
Name:BIRCEA, SORIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SORIN
Middle Name:
Last Name:BIRCEA
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:PO BOX 8177
Mailing Address - Street 2:
Mailing Address - City:LONG IS CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-8177
Mailing Address - Country:US
Mailing Address - Phone:347-242-2211
Mailing Address - Fax:347-933-6341
Practice Address - Street 1:4301 22ND ST STE 520
Practice Address - Street 2:
Practice Address - City:LONG IS CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5031
Practice Address - Country:US
Practice Address - Phone:347-242-2211
Practice Address - Fax:347-933-6341
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2614962084F0202X, 2084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry