Individual
DAVID S SERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 W 168TH ST STE P&S9-501, NEW YORK, NY 10032-3725
(212) 305-5371
(212) 305-5384
Mailing address
630 W 168TH ST STE P&S9-501, NEW YORK, NY 10032-3725
(212) 305-5371
(212) 305-5384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
168056
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01191024
—
NY
Enumeration date
10/03/2006
Last updated
12/30/2021
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