| Doctor Name: | PURA GARCIA-SERRABLO |
| NPI Number: | 1033579446 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | |
| Business Practice Address: | 21006 42nd Ave Apt. 1e Bayside, NY - 113612771 |
| Business Phone Number: | 2152214484 |
| Business Fax Number: | |
| Mailing Address: | 21006 42nd Ave, Apt. 1e BAYSIDE |
| State: | NY |
| Postal Code: | 113612771 |
| Phone Number: | 2152214484 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2016 |
| NPI Last Update Date: | 02/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 273R00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Psychiatric Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |