Individual
SHIRLEY JEAN SERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 RIVERLEIGH AVE, LOT M8, RIVERHEAD, NY 11901-3609
(631) 775-6749
Mailing address
525 RIVERLEIGH AVE, LOT M8, RIVERHEAD, NY 11901-3609
(631) 775-6749
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
092428021
NY
Other
Enumeration date
10/15/2014
Last updated
02/07/2020
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