| Ileana Maria Serrano Herrera, MD | |
|
3959 Broadway Fl Chn11, New York, NY 10032-1559 | |
| (212) 305-5825 | |
| Not Available |
| Full Name | Ileana Maria Serrano Herrera |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Nephrology |
| Location | 3959 Broadway Fl Chn11, New York, 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 |
|---|---|---|---|
| 1912492711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 312215-0 (New York) | Secondary |
| 2080P0210X | Pediatrics - Pediatric Nephrology | 339409 (Louisiana) | Primary |
| Entity Name | Louisiana State University School Of Med In New Orleans Faculty Grou |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932492626 PECOS PAC ID: 9739358722 Enrollment ID: O20110810000538 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Ileana Maria Serrano Herrera, MD 3959 Broadway Fl Chn11, New York, NY 10032-1559 Ph: (212) 305-5825 | Ileana Maria Serrano Herrera, MD 3959 Broadway Fl Chn11, New York, NY 10032-1559 Ph: (212) 305-5825 |
Dr. Robert Michael Lembo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 462 1st Ave, New York, NY 10016 Phone: 212-263-6425 | |
Dr. Sean Michael Bailey, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 1st Ave, Suite 7a, New York, NY 10016 Phone: 212-263-7477 | |
Dr. Diana Trevas Fleisher, Pediatrics Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-3293 Fax: 212-263-3522 | |
Dr. Rajdeep K Saini, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Warren St, New York, NY 10007 Phone: 212-226-7666 Fax: 212-202-7988 | |
Dr. Nooralam Ahmad Rai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3959 Broadway # Chc701, New York, NY 10032 Phone: 212-305-5122 Fax: 212-305-6103 | |
Deborah Valentine Shamsian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 21 W 86th St, New York, NY 10024 Phone: 212-304-5800 | |
Kara Alex-ann Beliard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1468 Madison Ave, New York, NY 10029 Phone: 122-241-6936 |