Individual
DR. LETHA SERA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21518 91ST AVE, QUEENS VILLAGE, NY 11428-1217
(718) 217-0202
(718) 217-0074
Mailing address
21518 91ST AVE, QUEENS VILLAGE, NY 11428-1217
(718) 217-0202
(718) 217-0074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
250040
NY
Other
Enumeration date
10/07/2008
Last updated
05/20/2013
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