Individual
BOGDAN ANDREI GRIGORESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 MINEOLA BLVD, SUITE 100, MINEOLA, NY 11501-4064
(516) 663-3010
(516) 663-3026
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-6106
(516) 576-5801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
236243
NY
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
236243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002616801
—
NY
Enumeration date
10/17/2006
Last updated
03/03/2021
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