Provider Demographics
NPI:1154436277
Name:PAUNICA, ANCA DANIELA (MD)
Entity type:Individual
Prefix:DR
First Name:ANCA
Middle Name:DANIELA
Last Name:PAUNICA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANCA
Other - Middle Name:DANIELA
Other - Last Name:SIMINEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:66 RUE DE LA LIMITE
Mailing Address - Street 2:
Mailing Address - City:WEZEMBEEK-OPPEM
Mailing Address - State:BRABANT FLAMAND
Mailing Address - Zip Code:1970
Mailing Address - Country:BE
Mailing Address - Phone:011322-305-4975
Mailing Address - Fax:
Practice Address - Street 1:742 JAMES ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13203-2017
Practice Address - Country:US
Practice Address - Phone:315-703-2745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222672-12084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ00008085Medicare PIN
NY149BQ1Medicare ID - Type UnspecifiedMEDICARE PROV NUMBER
NYH72312Medicare UPIN