Individual
GIANCARLO DI MARCO SERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 784-2985
Mailing address
1320 S UNIVERSITY DR STE 500, FORT WORTH, TX 76107-5732
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
316402
NY
2085R0202X
Diagnostic Radiology Physician
W0156
TX
363AM0700X
Medical Physician Assistant
316402
NY
390200000X
Student in an Organized Health Care Education/Training Program
33233
PR
Other
Enumeration date
07/18/2017
Last updated
01/20/2026
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