1265497309 NPI number — JUDITH KAY SESSENWEIN

Table of content: JUDITH KAY SESSENWEIN (NPI 1265497309)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265497309 NPI number — JUDITH KAY SESSENWEIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SESSENWEIN
Provider First Name:
JUDITH
Provider Middle Name:
KAY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1265497309
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 BROAD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLATTSBURGH
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12901-3420
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-563-8880
Provider Business Mailing Address Fax Number:
518-562-1077

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
206 CORNELIA ST
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
PLATTSBURGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12901-2779
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-562-7777
Provider Business Practice Location Address Fax Number:
518-562-7707
Provider Enumeration Date:
04/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LX0001X , with the licence number:  F360121 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01467147 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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