| Jon Stanciu Medical Services Pc | |
|
126 Greenpoint Ave Brooklyn NY 11222-2202 | |
| (718) 398-0100 | |
| (718) 398-9616 |
| Full Name | Jon Stanciu Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 126 Greenpoint Ave, Brooklyn, New York |
| Authorized Official Name and Position | Suzanne Casden (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5165690696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Stanciu Medical Services Pc 126 Greenpoint Ave Brooklyn NY 11222-2202 Ph: (718) 398-0100 | Jon Stanciu Medical Services Pc 126 Greenpoint Ave Brooklyn NY 11222-2202 Ph: (718) 398-0100 |
| NPI Number | 1992118491 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 12/02/2014 |
| Medicare PECOS PAC ID | 3072835065 |
|---|---|
| Medicare Enrollment ID | O20141202001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992118491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 248466 (New York) | Primary |
| Provider Name | Jon Stanciu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790951705 PECOS PAC ID: 2466512173 Enrollment ID: I20081125000191 |
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