Individual ProviderSerena Marie Fernandez-WallaceChiropractorChiropractic ProvidersPractice Address199 Oakwood Rd, Huntington, NY 11743-4213(631) 425-0500PECOS EnrollmentBased on the most recent information from CMS, provider Serena Marie Fernandez-Wallace does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578687208Provider TypeIndividualFull NameFernandez-Wallace, Serena MarieTitleDr.CredentialD.C.GenderFemaleSole ProprietorNoEnumeration Date3/19/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address199 Oakwood Rd, Huntington, NY 11743-4213Phone(631) 425-0500Fax(631) 425-3399Mailing LocationMailing Address199 Oakwood Rd, Huntington, NY 11743-4213Phone(631) 425-0500Fax(631) 425-3399Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseX009610-1New York