Individual
MIRCEA V CUSTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 E 233RD ST, OLMMC DEPARTMENT OF PSYCHIATRY, BRONX, NY 10466-2604
(718) 920-9826
(718) 920-9217
Mailing address
600 W 246TH ST, #616, BRONX, NY 10471-3611
(718) 884-3061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
187178
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01405178
—
NY
Enumeration date
01/12/2007
Last updated
07/08/2007
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