Individual
MRS. CONSTANZA SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25 HUNT PL, BETHPAGE, NY 11714-6431
(516) 495-4826
Mailing address
25 HUNT PL, BETHPAGE, NY 11714-6431
(516) 495-4826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306880
NY
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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