Individual
SERGINE DESROSIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
613 THROOP AVE, BROOKLYN, NY 11216-2522
(718) 602-6200
Mailing address
445 LENOX RD, BOX1262, BROOKLYN, NY 11203-2017
(718) 602-6200
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
N005664-1
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
MD002675
NJ
213EP1101X
Primary Podiatric Medicine Podiatrist
SC005652
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1964230004
—
PA
05
—
8696900
—
NJ
Enumeration date
09/09/2005
Last updated
09/25/2013
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