Individual
ROBERT J SERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8 MEDICAL DR, PT JEFFERSON STN, NY 11776
(631) 928-8585
(631) 928-8861
Mailing address
8 MEDICAL DR, PT JEFFERSON STN, NY 11776
(631) 928-8585
(631) 928-8861
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
036005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770127
—
NY
Enumeration date
02/05/2007
Last updated
07/08/2007
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