Serra, David J

Serra, David J is an sole proprietor health care provider with primary practice located at 2950 Elmwood Ave , Kenmore NY 14217-1304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Serra, David J can be contacted via phone (716) 649-0887.

Contact Information

Primary practice address
2950 Elmwood Ave Kenmore NY 14217-1304
Phone: (716) 649-0887
Fax: (716) 646-4611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223702 New York

Profile Details

NPI number 1912938390
LBN Legal business name Serra, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jan 23rd, 2015 - 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 1912938390 NPPES
New York Other 000526975004 BLUE CROSS
New York MEDICAID 02300769 BLUE CROSS
New York Other 00026057803 BLUE CROSS
New York Other 3993967 BLUE CROSS

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