National Provider Identifier
David J Serra, M.D.
David J Serra, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Kenmore, NY and a listed phone number of (716) 649-0887.
Profile Overview
- NPI
- 1912938390
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 05, 2006
- Last Updated
- January 23, 2015
Practice Location
- 2950 Elmwood Ave
- Kenmore, NY 14217-1304
Phone: (716) 649-0887
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1912938390
- Entity Type
- Individual
- Last Name
- Serra
- First Name
- David
- Middle Name
- J
- Credential
- M.D.
- Mailing Street Address
- 2950 Elmwood Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1304
- Mailing Country
- US
- Mailing Phone
- (716) 649-0887
- Mailing Fax
- (716) 646-4611
- Practice Street Address
- 2950 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1304
- Practice Country
- US
- Practice Phone
- (716) 649-0887
- Practice Fax
- (716) 646-4611
- Enumeration Date
- July 05, 2006
- Last Updated
- January 23, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 000526975004 (NY, Blue Cross), 02300769 (NY), 00026057803 (NY, Univera), 3993967 (NY, Independent Health)