Individual
DAN IANCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8096
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8096
Taxonomy
Speciality
Code
Description
License number
State
207ZP0104X
Chemical Pathology Physician
229962
NY
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
229962
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02752216
—
NY
Enumeration date
05/17/2006
Last updated
10/11/2019
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