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Individual

DR. DANITA IONESCU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
365 BROADWAY, AMITYVILLE, NY 11701-2716
(631) 464-4545
Mailing address
365 BROADWAY, AMITYVILLE, NY 11701-2927
(631) 464-4545

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227856
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02543635
NY
01
112488918
AETNA HMO
NY
01
159267
VITRA
NY
01
1831760
CIGNA
NY
01
3360694
UNITED HEALTH CARE
NY
01
5900249
GHI PPO
NY
01
7920467
AETNA PPO
NY
01
79373
GHI HMO
NY
01
DI05329C10
BLUE CROSS BLUE SHIELD
NY
01
P3058256
OXFORD
NY
Enumeration date
10/25/2006
Last updated
03/05/2015
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