Provider Demographics
NPI:1831275031
Name:IORDACHE, MIHAI MARCEL (MD)
Entity type:Individual
Prefix:DR
First Name:MIHAI
Middle Name:MARCEL
Last Name:IORDACHE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7534 BELL BLVD APT 2E
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3427
Mailing Address - Country:US
Mailing Address - Phone:917-863-2728
Mailing Address - Fax:
Practice Address - Street 1:8045 WINCHESTER BLVD BLDG 73
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2195
Practice Address - Country:US
Practice Address - Phone:718-264-3412
Practice Address - Fax:718-523-2728
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2019-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2228892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00246075Medicaid
NY0033S128Medicare ID - Type Unspecified
NYH77906Medicare UPIN