Individual
DR. ILEANA MARIE SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
81 W 115TH ST, NEW YORK, NY 10026-3138
(212) 426-0088
(212) 426-8367
Mailing address
60 MADISON AVE, NEW YORK, NY 10010-1600
(212) 545-2400
(646) 312-0481
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
238464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
05/21/2007
Last updated
09/09/2015
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