Basic Information
Provider Information
NPI: 1245348325
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOICULESCU
FirstName: LUCIA
MiddleName: DAIANA
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 12023
Address2:  
City: NEWARK
State: NJ
PostalCode: 071015023
CountryCode: US
TelephoneNumber: 2124272666
FaxNumber: 2122896929
Practice Location
Address1: 2510 30TH AVE
Address2: ANESTHESIOLOGY
City: ASTORIA
State: NY
PostalCode: 111022448
CountryCode: US
TelephoneNumber: 2124272666
FaxNumber: 2122896929
Other Information
ProviderEnumerationDate: 08/28/2006
LastUpdateDate: 05/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X240133NYN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LP2900X240133NYY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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