Basic Information
| Provider Information | |||||||||
| NPI: | 1831163039 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRECU | ||||||||
| FirstName: | LORETA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1554 | ||||||||
| Address2: | |||||||||
| City: | STONY BROOK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117900988 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314442975 | ||||||||
| FaxNumber: | 6314442907 | ||||||||
| Practice Location | |||||||||
| Address1: | STONY BROOK ANESTHESIOLOGY, UFPC; STONY BROOK UNIV. | ||||||||
| Address2: | HEALTH SCIENCE CENTER LEVEL 4, # 060 | ||||||||
| City: | STONY BROOK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 117948480 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6314442975 | ||||||||
| FaxNumber: | 6314442907 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/14/2006 | ||||||||
| LastUpdateDate: | 02/04/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 205130 | MA | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207RC0200X | 205130 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0183199 | 05 | MA | MEDICAID | 205130 | 01 | MA | TUFTS HEALTH PLAN | OTHER | J25536 | 01 | MA | BCBS MA | OTHER |