Individual
PURA GARCIA-SERRABLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
21006 42ND AVE, APT. 1E, BAYSIDE, NY 11361-2771
(215) 221-4484
Mailing address
21006 42ND AVE, APT. 1E, BAYSIDE, NY 11361-2771
(215) 221-4484
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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