Healthcare Provider Details

I. General information

NPI: 1568617850
Provider Name (Legal Business Name): MEDICAL REMEDIES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2008
Last Update Date: 03/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 E 76TH ST STE M3
NEW YORK NY
10021-2147
US

IV. Provider business mailing address

205 E 76TH ST STE M3
NEW YORK NY
10021-2147
US

V. Phone/Fax

Practice location:
  • Phone: 212-249-5252
  • Fax:
Mailing address:
  • Phone: 212-249-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number154750
License Number StateNY

VIII. Authorized Official

Name: INNA SERBIN
Title or Position: OWNER
Credential: MD
Phone: 212-249-5252