| Organization Name: | DR. MARIANNE SODEN SERJANEJ DO PLLC |
| NPI Number: | 1295745586 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIANNE SODEN SERJANEJ (OWNER) |
| Mailing Address: | 2352 State Route 26 Endicott |
| State: | NY US |
| Postal Code: | 137606418 |
| Phone Number: | 6078624325 |
| Fax Number: | 6078629006 |
| NPI Enumeration Date: | 08/09/2006 |
| NPI Last Update Date: | 02/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |