Individual
DR. STACY SEREBNITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
63134 FITCHETT ST, REGO PARK, NY 11374
(718) 288-7026
Mailing address
800 WESTCHESTER AVE STE N715, RYE BROOK, NY 10573-1376
(914) 607-5730
(914) 457-1195
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
253492
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
253492
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
253492
NY
Other
Enumeration date
07/20/2009
Last updated
11/02/2020
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