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Organization
JOSE SERRUYA, M.D.P.C.
Active
Organization
JOSE SERRUYA, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE I SERRUYA (PRESIDENT OF THE CORPORATION)
(718) 830-3772
Entity
Organization
Contact information
Practice address
6907 43RD AVE, SUITE C2, WOODSIDE, NY 11377-9100
(718) 830-3772
(718) 255-1841
Mailing address
6907 43RD AVE, SUITE C2, WOODSIDE, NY 11377-9100
(718) 830-3772
(718) 255-1841
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207927
NY
Other
Enumeration date
03/05/2009
Last updated
03/05/2009
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