Individual
NICOLETA CAMELIA BODEA- CRISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
998 CROOKED HILL RD, W BRENTWOOD, NY 11717-1043
(631) 761-2191
(631) 761-2816
Mailing address
312 MAIN ST, APARTMENT B, ROSLYN, NY 11576-2110
(516) 801-4249
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
236191
NY
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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