Individual
NATALYA SEROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3418 AVENUE T, BROOKLYN, NY 11234-4913
(347) 782-3374
Mailing address
3418 AVENUE T, BROOKLYN, NY 11234-4913
(347) 782-3374
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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