Individual
DR. MIHAI TIBERIU SIMIONESCU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 ERIE BLVD E, SUITE 214, SYRACUSE, NY 13210-1148
(315) 401-7436
(315) 401-7436
Mailing address
4723 ANGLIA ST, MANLIUS, NY 13104-9798
(315) 637-8987
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
259598
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
259598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354485
—
NY
Enumeration date
11/22/2006
Last updated
11/04/2014
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