Doctor Name: | DR. CARLOS JULIO SERRANO |
NPI Number: | 1881753150 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME92041 |
Business Practice Address: | 3722 88th St Jackson Heights, NY - 11372 |
Business Phone Number: | 7185079878 |
Business Fax Number: | 7185207989 |
Mailing Address: | 888 Newton Ave, BALDWIN |
State: | NY |
Postal Code: | 11510 |
Phone Number: | 5168671067 |
Fax Number: | 5168671067 |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME92041 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |