Individual
ROSANNE SERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7524
Mailing address
219 BRYANT ST, BUFFALO, NY 14222-2006
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F-339517-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04176752
—
NY
Enumeration date
05/26/2015
Last updated
12/28/2015
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