Provider Demographics
NPI:1427692938
Name:SEREBRYAKOVA, LILIYA (PHARMD)
Entity type:Individual
Prefix:
First Name:LILIYA
Middle Name:
Last Name:SEREBRYAKOVA
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 1:495A BEACH 20TH ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-3621
Mailing Address - Country:US
Mailing Address - Phone:718-337-1900
Mailing Address - Fax:718-337-2277
Practice Address - Street 1:3685 SHORE PKWY APT 5D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2147
Practice Address - Country:US
Practice Address - Phone:347-307-4313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065664183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist