Provider Demographics
NPI:1912980988
Name:ALEXANDRESCU, RODICA (MD)
Entity Type:Individual
Prefix:MISS
First Name:RODICA
Middle Name:
Last Name:ALEXANDRESCU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0949
Mailing Address - Country:US
Mailing Address - Phone:212-737-5076
Mailing Address - Fax:
Practice Address - Street 1:1901 1ST AVE
Practice Address - Street 2:RM 327, REHABILITATION MEDICINE DEPT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7404
Practice Address - Country:US
Practice Address - Phone:212-423-6448
Practice Address - Fax:212-423-6326
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167861208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY16E481Medicare ID - Type Unspecified
NY07986Medicare UPIN