Individual
DAVID J SERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 649-0887
(716) 646-4611
Mailing address
2950 ELMWOOD AVE, KENMORE, NY 14217-1304
(716) 649-0887
(716) 646-4611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223702
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026057803
UNIVERA
NY
01
—
000526975004
BLUE CROSS
NY
05
—
02300769
—
NY
01
—
3993967
INDEPENDENT HEALTH
NY
Enumeration date
07/05/2006
Last updated
01/23/2015
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