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NPI Code Detail

MEDICARE: DR. YANA SEROBYAN DO

MEDICARE: DR. YANA SEROBYAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician217571NY
22084P0804XChild & Adolescent Psychiatry Physician217571NY

General Provider Information

NPI Number : 1801997671
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YANA SEROBYAN DO
Provider Business Mailing Address
First Line : 514 - 49TH STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11220
Country : US
Telephone Number : 718-431-2647
Fax Number : 718-435-8510
Provider Business Practice Location Address
First Line : 514 49TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2010
Country : US
Telephone Number : 718-431-2647
Fax Number : 718-435-8510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 08/13/2021

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