Provider Demographics
NPI:1194959700
Name:FLORENTIN ABRUDESCU PHYSICIAN PC
Entity type:Organization
Organization Name:FLORENTIN ABRUDESCU PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORENTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRUDESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-465-4000
Mailing Address - Street 1:PO BOX 20213
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11002-0213
Mailing Address - Country:US
Mailing Address - Phone:718-465-4000
Mailing Address - Fax:
Practice Address - Street 1:21616 UNION TPKE
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-3525
Practice Address - Country:US
Practice Address - Phone:718-465-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185112207R00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001430166Medicaid