# MIAHAELA BALAESCU MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588768865
- **Authorized official:** MIHAELA BALAESCU MD (OWNER)
- **Authorized official phone:** (718) 784-7500

## Contact information

- **Practice address:** 4701 QUEENS BLVD, SUITE 403, SUNNYSIDE, NY 11104-1600
- **Practice address phone:** (718) 784-7500
- **Practice address fax:** (718) 361-1130
- **Mailing address:** 4701 QUEENS BLVD, SUITE 403, SUNNYSIDE, NY 11104-1600
- **Mailing address phone:** (718) 784-7500
- **Mailing address fax:** (718) 361-1130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 216737 | NY | Yes |

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 07/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02088764 | — | NY |