Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 097592 | NY |
NPI | 1588739825 |
---|---|
Provider Name | Dr. Alina A Serdakowska |
First Address | Bronxville, NY 10708-2631 |
Second Address | Bronxville, NY 10708-2631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B 1997-1 | (02) | NY |