Provider Demographics
NPI:1568272342
Name:SERENE CARE NP IN PSYCHIATRY P.C.
Entity type:Organization
Organization Name:SERENE CARE NP IN PSYCHIATRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-653-7821
Mailing Address - Street 1:11568 225TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1235
Mailing Address - Country:US
Mailing Address - Phone:917-653-7821
Mailing Address - Fax:718-341-0502
Practice Address - Street 1:18230 WEXFORD TER APT 6B
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3113
Practice Address - Country:US
Practice Address - Phone:917-653-7821
Practice Address - Fax:718-341-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty