Provider Demographics
NPI:1750336665
Name:NEDELEA, DANA ELENA (MD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:ELENA
Last Name:NEDELEA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5036
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10602-5036
Mailing Address - Country:US
Mailing Address - Phone:845-838-7020
Mailing Address - Fax:845-838-6105
Practice Address - Street 1:1869 BRENTWOOD RD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-4625
Practice Address - Country:US
Practice Address - Phone:914-965-9771
Practice Address - Fax:914-965-4724
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY213687208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01981942Medicaid
NYH68069Medicare UPIN
NYA400094363Medicare PIN