Fernandez-Wallace, Serena Marie

Fernandez-Wallace, Serena Marie is an individual health care provider with primary practice located at 199 Oakwood Rd , Huntington NY 11743-4213. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fernandez-Wallace, Serena Marie can be contacted via phone (631) 425-0500.

Contact Information

Primary practice address
199 Oakwood Rd Huntington NY 11743-4213
Fax: (631) 425-3399
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X009610-1 New York

Profile Details

NPI number 1578687208
LBN Legal business name Fernandez-Wallace, Serena Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 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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