Organization
SEREBNITSKY PAIN MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY SEREBNITSKY MD (MEDICAL DIRECTOR)
(718) 288-7026
Entity
Organization
Contact information
Practice address
68 E 131ST ST, NEW YORK, NY 10037-2900
(718) 288-7026
Mailing address
11201 QUEENS BLVD APT 18G, FOREST HILLS, NY 11375-5592
(718) 288-7026
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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