Individual
AMY SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12 AVERY PL, WESTPORT, CT 06880-3223
(203) 227-5125
Mailing address
12 AVERY PL, WESTPORT, CT 06880-3223
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
021363
NY
363A00000X
Physician Assistant
Primary
4787
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021363
NEW YORK STATE EDUCATION DEPARTMENT
NY
01
—
4787
CT DEPARTMENT OF HEALTH
CT
Enumeration date
09/25/2017
Last updated
06/13/2025
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