Jose Serruya, M.d.p.c.

NPI #1396985222 in Woodside, New York

Provider Information

NPI Number: 1396985222
Entity Type: Organization
Organization Name: Jose Serruya, M.d.p.c.
Primary Specialty: Specialist
Enumeration Date: Mar 5, 2009
Last Updated: Mar 5, 2009

Practice Location

Address: 6907 43RD AVE
Address 2: SUITE C2
City: Woodside
State: New York
ZIP Code: 11377-9100
Phone: (718) 830-3772

Authorized Official

Name: DR. JOSE I SERRUYA
Title: PRESIDENT OF THE CORPORATION
Phone: (718) 830-3772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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