Provider Demographics
NPI:1902971518
Name:GABRIELA OLARU, MD, F.A.C.O.G., PC
Entity Type:Organization
Organization Name:GABRIELA OLARU, MD, F.A.C.O.G., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUDAROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-204-0414
Mailing Address - Street 1:328 E 75TH ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3317
Mailing Address - Country:US
Mailing Address - Phone:212-772-3722
Mailing Address - Fax:
Practice Address - Street 1:328 E 75TH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3317
Practice Address - Country:US
Practice Address - Phone:212-772-3722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227688174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEX601Medicare ID - Type UnspecifiedEMPIRE MEDICARE
NYH90666Medicare UPIN