Provider Demographics
NPI:1881636363
Name:DR.FLORIN MEROVICI MEDICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:DR.FLORIN MEROVICI MEDICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MEROVICI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-389-0100
Mailing Address - Street 1:126 GREENPOINT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-2202
Mailing Address - Country:US
Mailing Address - Phone:718-389-0100
Mailing Address - Fax:718-389-9616
Practice Address - Street 1:126 GREENPOINT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-2202
Practice Address - Country:US
Practice Address - Phone:718-389-0100
Practice Address - Fax:718-389-9616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY172240207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEJ981Medicare ID - Type UnspecifiedGROUP NUMBER