Provider Demographics
NPI:1023357258
Name:SEREBRINSKAYA, MARINA (MS IN SPECIAL ED)
Entity Type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:
Last Name:SEREBRINSKAYA
Suffix:
Gender:F
Credentials:MS IN SPECIAL ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 AVENUE Z APT 2L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1333
Mailing Address - Country:US
Mailing Address - Phone:347-782-9778
Mailing Address - Fax:
Practice Address - Street 1:3021 AVENUE Z APT 2L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-1333
Practice Address - Country:US
Practice Address - Phone:347-782-9778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY705646132174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist