Desrosiers, Sergine

Desrosiers, Sergine is an sole proprietor health care provider with primary practice located at 613 Throop Ave , Brooklyn NY 11216-2522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is her primary health care specialty. Desrosiers, Sergine can be contacted via phone (718) 602-6200.

Contact Information

Primary practice address
613 Throop Ave Brooklyn NY 11216-2522
Phone: (718) 602-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X N005664-1 New York
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X MD002675 New Jersey
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X SC005652 Pennsylvania

Profile Details

NPI number 1093709610
LBN Legal business name Desrosiers, Sergine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Sep 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093709610 NPPES
New Jersey MEDICAID 8696900
New Jersey MEDICAID 1964230004

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