Provider Demographics
NPI:1306888557
Name:OLANESCU, ANDREA D (MD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:D
Last Name:OLANESCU
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 1:23-22 30TH ROAD
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:10002-2877
Mailing Address - Country:US
Mailing Address - Phone:718-278-0888
Mailing Address - Fax:718-278-0122
Practice Address - Street 1:23-22 30TH ROAD
Practice Address - Street 2:1-H
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2877
Practice Address - Country:US
Practice Address - Phone:718-278-0888
Practice Address - Fax:718-278-0122
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214058207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02299585Medicaid
NY02299585Medicaid