Charlyn Marie Laserna | New York, NY • PECOS Search

Charlyn Marie Laserna

Pediatrics

Allopathic & Osteopathic Physicians

1000 10th Ave Ste 11g, New York, NY 10019-1147

(212) 523-8306 (409) 656-6066

PECOS Enrollment

Based on the most recent information from CMS, provider Charlyn Marie Laserna does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1992153787
Provider Type
Individual
Full Name
Laserna, Charlyn Marie
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/2/2016
Last Updated
9/12/2019

Contact Information

Practice Location

1000 10th Ave Ste 11g, New York, NY 10019-1147

Unlisted Fax

Mailing Location

505 W 37th St Apt 206, New York, NY 10018-1127

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 298829 New York