Individual
DR. NICOLETA IONICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 E MAIN ST, BAY SHORE, NY 11706-8427
(631) 780-7800
Mailing address
180 E MAIN ST, BAY SHORE, NY 11706-8427
(631) 780-7800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD12853
RI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
267316
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400079047
MEDICARE
NY
Enumeration date
02/20/2008
Last updated
04/27/2017
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