Serruya, Jose I

Serruya, Jose I is an individual health care provider with primary practice located at 6907 43Rd Ave Suite C 2, Woodside NY 11377-9100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Serruya, Jose I can be contacted via phone (718) 830-3772.

Contact Information

Primary practice address
6907 43Rd Ave Suite C 2 Woodside NY 11377-9100
Phone: (718) 830-3772
Fax: (718) 255-1841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 207927 New York

Profile Details

NPI number 1609850296
LBN Legal business name Serruya, Jose I
Credentials M.D.P.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Mar 5th, 2009 - about 15 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 1609850296 NPPES
New York MEDICAID 02104103

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