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Individual

SERENA ALBERTA PERGOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CPNP-AC

Contact information

Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-5437
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650

Taxonomy

Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
938446
NY

Other

Enumeration date
09/17/2024
Last updated
10/09/2025
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