Provider Demographics
NPI:1487539292
Name:SERRANO, ANGELINA LEE
Entity type:Individual
Prefix:
First Name:ANGELINA
Middle Name:LEE
Last Name:SERRANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 SHORE FRONT PKWY APT 4B
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-2203
Mailing Address - Country:US
Mailing Address - Phone:929-215-3303
Mailing Address - Fax:
Practice Address - Street 1:26 COURT STREET
Practice Address - Street 2:SUITES 409 AND 1001
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242
Practice Address - Country:US
Practice Address - Phone:646-960-3451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health