Individual
CHARLYN MARIE LASERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 10TH AVE STE 11G, NEW YORK, NY 10019-1147
(212) 523-8306
Mailing address
505 W 37TH ST APT 206, NEW YORK, NY 10018-1127
(409) 656-6066
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
298829
NY
Other
Enumeration date
06/02/2016
Last updated
09/12/2019
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