Individual
ANGELA SERAFICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 ROANOKE AVE, RIVERHEAD, NY 11901-2706
(631) 998-1003
Mailing address
208 ROANOKE AVE, RIVERHEAD, NY 11901-2706
(631) 998-1003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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