Provider Demographics
NPI:1992851885
Name:GHEORGHIU, OLIMPIA T (MD)
Entity Type:Individual
Prefix:
First Name:OLIMPIA
Middle Name:T
Last Name:GHEORGHIU
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:ROCKLAND PSYCHIATRIC CENTER YONKERS SERVICE CTR
Mailing Address - Street 2:2 PARK AVENUE
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703
Mailing Address - Country:US
Mailing Address - Phone:914-969-0543
Mailing Address - Fax:914-969-3643
Practice Address - Street 1:YONKERS SERVICE CENTER
Practice Address - Street 2:2 PARK AVENUE
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703
Practice Address - Country:US
Practice Address - Phone:914-969-0543
Practice Address - Fax:914-969-3643
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1637272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
150991Medicare ID - Type Unspecified
F20782Medicare UPIN