Provider Demographics
NPI:1225134059
Name:SERNYAK, MICHAEL JOSEPH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:SERNYAK
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:9 MACLEAN PL
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-5635
Mailing Address - Country:US
Mailing Address - Phone:203-481-3542
Mailing Address - Fax:203-937-3886
Practice Address - Street 1:950 CAMPBELL AVE
Practice Address - Street 2:VACT-PSYCHIATRY SERVICE-116A
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-2770
Practice Address - Country:US
Practice Address - Phone:203-932-5711
Practice Address - Fax:203-937-3886
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0300822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry