Individual
MIHAI DASCALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 S PERRY ST, STE 4, WATKINS GLEN, NY 14891-1615
(607) 535-8282
(607) 535-8284
Mailing address
802 N DECATUR ST, WATKINS GLEN, NY 14891-1310
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
246855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060246855LI
—
NY
Enumeration date
06/04/2006
Last updated
03/22/2010
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