Most Relevant Information
Provider Data
| NPI Number: | 1003552407 |
| Provider Name: | ANGELA SERAFICO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2022 |
| Last Updated: | 05/09/2022 |
Provider Practice Location
208 ROANOKE AVE
RIVERHEAD
NY
119012706
Practice Location Phone/Fax
| Phone: | 6319981003 |
| Fax: |
Provider Mailing Location
208 ROANOKE AVE
RIVERHEAD
NY
119012706
Provider Mailing Phone/Fax
| Phone: | 6319981003 |
| Fax: |