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DR. MIHAI TIBERIU SIMIONESCU M.D. NPI 1912072091


NPI Information

NPI: 1912072091
Provider Name: DR. MIHAI TIBERIU SIMIONESCU, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Organization: LIBERTY RESOURCES INC

PECOS Registration: Yes

Address:
1101 ERIE BLVD E
SUITE 214
SYRACUSE, NY
ZIP 13210
Phone: (315) 401-7436
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DR. Mihai Tiberiu Simionescu, M.D. is a child and adolescent psychiatry psychiatry neurology in Syracuse, NY with 29 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Mihai Tiberiu Simionescu, M.D. NPI is 1912072091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1101 ERIE BLVD E
SUITE 214
SYRACUSE, NY
ZIP 13210-148
Phone: (315) 401-7436
Fax: (315) 401-7436

The NPI 1912072091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 11/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry259598NEW YORKNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry259598NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100354485MEDICAIDNEW YORK
2J400150830MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.