Individual
MRS. SERENA GRACE BORRERO LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, RN
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-3810
(631) 444-0580
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-0580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
741684
NY
163W00000X
Registered Nurse
RN9551847
FL
363L00000X
Nurse Practitioner
Primary
3538413
NY
Other
Enumeration date
01/22/2021
Last updated
07/02/2024
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