Provider Demographics
NPI:1194742841
Name:MILITARU, LOREDANA CORNELIA (MD)
Entity type:Individual
Prefix:
First Name:LOREDANA
Middle Name:CORNELIA
Last Name:MILITARU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 MAIN ST
Mailing Address - Street 2:APARTMENT 647
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10044-0213
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DAVIS AVE AT E POST RD
Practice Address - Street 2:HOSPITAL DEPARTMENT SUITE 2106
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4615
Practice Address - Country:US
Practice Address - Phone:914-681-2572
Practice Address - Fax:914-681-2590
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-50476207R00000X, 208M00000X
UT5642793-1205207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT005756402Medicare ID - Type Unspecified
UTI 12357Medicare UPIN
UT000063420Medicare PIN