Individual
ILEANA MARIA SERRANO HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3959 BROADWAY FL CHN11, NEW YORK, NY 10032-1559
(212) 305-5825
Mailing address
3959 BROADWAY FL CHN11, NEW YORK, NY 10032-1559
(212) 305-5825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
312215-0
NY
2080P0210X
Pediatric Nephrology Physician
Primary
339409
LA
Other
Enumeration date
06/25/2018
Last updated
04/10/2025
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