Individual
DR. CARLOS JULIO SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3722 88TH ST, JACKSON HEIGHTS, NY 11372
(718) 507-9878
(718) 520-7989
Mailing address
888 NEWTON AVE, BALDWIN, NY 11510
(516) 867-1067
(516) 867-1067
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
221633
NY
208D00000X
General Practice Physician
ME92041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02201861
—
NY
Enumeration date
12/06/2006
Last updated
07/08/2007
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