Provider Demographics
NPI:1215259510
Name:SERFASS, MEGAN MELISSA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:MELISSA
Last Name:SERFASS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 HOOPER RD STE 500
Mailing Address - Street 2:
Mailing Address - City:ENDWELL
Mailing Address - State:NY
Mailing Address - Zip Code:13760-1588
Mailing Address - Country:US
Mailing Address - Phone:607-757-2618
Mailing Address - Fax:
Practice Address - Street 1:800 HOOPER RD STE 500
Practice Address - Street 2:
Practice Address - City:ENDWELL
Practice Address - State:NY
Practice Address - Zip Code:13760-1588
Practice Address - Country:US
Practice Address - Phone:607-757-2618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-28
Last Update Date:2010-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052559183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist