Organization
DR. MIHAI IORDACHE, PHYSICIAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIHAI MARCEL IORDACHE M.D. (DIRECTOR)
(917) 863-2728
Entity
Organization
Contact information
Practice address
22041 UNION TPKE, BAYSIDE, NY 11364-3542
(917) 863-2728
Mailing address
4122 42ND ST APT 4F, SUNNYSIDE, NY 11104-2707
(917) 863-2728
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
222889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
11/11/2015
Last updated
11/11/2015
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