Provider Demographics
NPI:1487796215
Name:FOX, SERENA J (MD)
Entity type:Individual
Prefix:DR
First Name:SERENA
Middle Name:J
Last Name:FOX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:150 E 42ND ST FL 9
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5699
Mailing Address - Country:US
Mailing Address - Phone:646-605-8188
Mailing Address - Fax:212-420-4684
Practice Address - Street 1:FIRST AVENUE AT 16TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3413
Practice Address - Country:US
Practice Address - Phone:212-420-2377
Practice Address - Fax:212-420-4684
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD17882207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine