Provider Demographics
NPI:1215446778
Name:OXANA POPESCU MD PC
Entity type:Organization
Organization Name:OXANA POPESCU MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OXANA
Authorized Official - Middle Name:
Authorized Official - Last Name:POPESCU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-627-7591
Mailing Address - Street 1:PO BOX 110
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-0110
Mailing Address - Country:US
Mailing Address - Phone:914-478-5121
Mailing Address - Fax:
Practice Address - Street 1:30 MAIN ST
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1602
Practice Address - Country:US
Practice Address - Phone:914-478-5121
Practice Address - Fax:866-862-1608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238747261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02794461Medicaid
1043255631OtherMAGNACARE
1043255631OtherUNITED HEALTH CARE
1043255631OtherAETNA
1043255631OtherEMPIRE BLUE CROSS BLUE SHIELD
1043255631OtherCIGNA
1043255631OtherAARP
1043255631Other1199
1043255631OtherHORIZON