Individual
DR. JOSE I SERRUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.P.C.
Contact information
Practice address
6907 43RD AVE, SUITE C 2, WOODSIDE, NY 11377-9100
(718) 830-3772
(718) 255-1841
Mailing address
6907 43RD AVE, SUITE C 2, WOODSIDE, NY 11377-9100
(718) 830-3772
(718) 255-1841
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
207927
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02104103
—
NY
Enumeration date
12/06/2005
Last updated
03/05/2009
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