Provider Demographics
NPI:1649023060
Name:SERENITY MEDICAL HEALTH PLLC
Entity type:Organization
Organization Name:SERENITY MEDICAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUEY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:WONG URENA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-603-2515
Mailing Address - Street 1:28 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040
Mailing Address - Country:US
Mailing Address - Phone:332-249-2050
Mailing Address - Fax:332-249-2051
Practice Address - Street 1:28 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-2669
Practice Address - Country:US
Practice Address - Phone:332-249-2050
Practice Address - Fax:332-249-2051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty