Provider Demographics
NPI:1144343401
Name:TANASE-TEACA, ANA (MD)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:
Last Name:TANASE-TEACA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:
Other - Last Name:TANASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6040 60TH DR
Mailing Address - Street 2:#21
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-3507
Mailing Address - Country:US
Mailing Address - Phone:347-987-3446
Mailing Address - Fax:
Practice Address - Street 1:48 CEDAR ST
Practice Address - Street 2:BUENAVIDA CONTINUING CARE AND REHABILITATION CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11221-3253
Practice Address - Country:US
Practice Address - Phone:718-928-3461
Practice Address - Fax:718-928-3496
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247249207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY247249OtherLICENSE