Provider Demographics
NPI:1265611339
Name:SERINA, MARIE ANN (FAMILY NURSE PRACTIT)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ANN
Last Name:SERINA
Suffix:
Gender:F
Credentials:FAMILY NURSE PRACTIT
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:
Other - Last Name:PANZARINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 E 64TH ST
Mailing Address - Street 2:FL 4
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7471
Mailing Address - Country:US
Mailing Address - Phone:212-861-2300
Mailing Address - Fax:212-861-2442
Practice Address - Street 1:29 CASTLE PLACE
Practice Address - Street 2:THE COLLEGE OF NEW ROCHELLE HEALTH SERVICES
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-2339
Practice Address - Country:US
Practice Address - Phone:914-654-5311
Practice Address - Fax:914-654-5885
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331515363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily