Dr Jose I Serruya, MDPC | |
6907 43rd Ave, Suite C 2, Woodside, NY 11377-9100 | |
(718) 830-3772 | |
(718) 255-1841 |
Full Name | Dr Jose I Serruya |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 6907 43rd Ave, Woodside, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609850296 | NPI | - | NPPES |
02104103 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 207927 (New York) | Primary |
Entity Name | Epilepsy & Neurophysiology Medical Consulting Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770564593 PECOS PAC ID: 4082500624 Enrollment ID: O20040223000404 |
Entity Name | Jose Serruya, M.d.p.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396985222 PECOS PAC ID: 3173689858 Enrollment ID: O20090304000497 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose I Serruya, MDPC 6907 43rd Ave, Suite C 2, Woodside, NY 11377-9100 Ph: (718) 830-3772 | Dr Jose I Serruya, MDPC 6907 43rd Ave, Suite C 2, Woodside, NY 11377-9100 Ph: (718) 830-3772 |
Dr. John Robert Delfs, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 61-10 Queens Boulevard, 2nd Floor, Woodside, NY 11377 Phone: 718-397-2002 Fax: 646-524-8323 | |
Dr. Marta Nawrocka-partyka, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6120 Woodside Ave, Woodside, NY 11377 Phone: 718-779-1234 | |
Dr. Monette G Basson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6216 Broadway, Woodside, NY 11377 Phone: 718-335-5151 Fax: 718-335-5219 | |
Dr. Shakunthala Kandaswamy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6415 35th Ave, Woodside, NY 11377 Phone: 718-606-1200 | |
Kazi Md Asif Hilmi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3443 60th St Apt P2, Woodside, NY 11377 Phone: 201-730-2743 Fax: 239-235-4641 |