Individual
SERENA ANN SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Mailing address
345 E 24TH ST, NEW YORK, NY 10010-4020
(718) 510-7820
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061357
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2018
Last updated
12/05/2022
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