Basic Information
Provider Information
NPI: 1376663419
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DINESCU
FirstName: ANCA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1233 YORK AVE
Address2: #21N
City: NEW YORK
State: NY
PostalCode: 100216306
CountryCode: US
TelephoneNumber: 2122411800
FaxNumber: 2128609737
Practice Location
Address1: 1 GUSTAVE L LEVY PL
Address2: BOX 1070
City: NEW YORK
State: NY
PostalCode: 100296500
CountryCode: US
TelephoneNumber: 2122411782
FaxNumber: 2128609737
Other Information
ProviderEnumerationDate: 03/30/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300XP43168NYY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

No ID Information.


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