Individual
NIKKI SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3178 SUMMIT SQUARE DR APT D8, OAKTON, VA 22124-2880
(516) 342-0907
(703) 319-2078
Mailing address
3178 SUMMIT SQUARE DR D8, OAKTON, VA 22124-2880
(516) 342-0907
(703) 319-2078
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
028042
NY
Other
Enumeration date
09/29/2011
Last updated
06/03/2021
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