SERENA GRACE BORRERO LOVELACE

STONY BROOK, NY
NPI1679163729
Former NameSERENA BORRERO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  3538413)
Additional Taxonomies163W00000X Registered Nurse
(Licence: FL  RN9551847)
163W00000X Registered Nurse
(Licence: NY  741684)
Enumeration Date2021-01-22
Last Update Date2024-07-02
Business Address
Mrs. SERENA GRACE BORRERO LOVELACE NP, RN
101 NICOLLS RD
STONY BROOK, NY 11794-3810
Phone number: 631-444-0580
Mailing Address
Mrs. SERENA GRACE BORRERO LOVELACE NP, RN
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-444-0580