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Sery Pak

Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).

NPI number1104768795
StatusActive
Last updated in NPPESApr 6, 2026

Details

NPI
1104768795
Entity type
Individual (NPI-1)
Name
Sery Pak
Sex
Female
Sole proprietor
No
Enumeration date
Apr 6, 2026
Certification date
Apr 6, 2026
Last updated
Apr 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1 Gustave L Levy Pl
New York, NY 10029-6504

Phone 212-241-6500

Mailing address

1 Gustave L Levy Pl
New York, NY 10029-6504

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