Provider Demographics
NPI:1306942933
Name:SERBAN, VALERIA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:VALERIA
Middle Name:
Last Name:SERBAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:VALERIA
Other - Middle Name:
Other - Last Name:DRAGOIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6415 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-2534
Mailing Address - Country:US
Mailing Address - Phone:215-964-1511
Mailing Address - Fax:
Practice Address - Street 1:6415 FOREST AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-2534
Practice Address - Country:US
Practice Address - Phone:215-964-1511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA0800064002084P0800X
MA2265882084P0800X
PAMD4277252084P0800X
NJ25MA080064002084N0400X
NY2432372084N0400X, 2084P0800X
SC817332084N0400X, 2084P0800X
CAA1042352084N0400X, 2084P0800X
CT613242084P0800X
WI725202084P0800X
IL036.1550962084P0800X
NC2020-001912084P0800X
VA01012705022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I70637Medicare UPIN