Individual
DR. SERENA MAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
630 WEST 168TH STREET, MC28, NEW YORK, NY 10032
(212) 305-6912
Mailing address
630 WEST 168TH STREET, MC28, NEW YORK, NY 10032
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
269638-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
269638-1
NY
Other
Enumeration date
07/01/2009
Last updated
06/23/2023
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