1407974413 NPI number — MS. JANE J SELEY GNP CDE

Table of content: MS. JANE J SELEY GNP CDE (NPI 1407974413)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407974413 NPI number — MS. JANE J SELEY GNP CDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SELEY
Provider First Name:
JANE
Provider Middle Name:
J
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
GNP CDE
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:
1407974413
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
525 EAST 68 STREET
Provider Second Line Business Mailing Address:
ROOM F2025, BOX 136 ENDOCRINE
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-746-6220
Provider Business Mailing Address Fax Number:
212-746-8527

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
525 EAST 68 STREET NEWYORK PRESBYTERIAN WC
Provider Second Line Business Practice Location Address:
ROOM F2025, BOX 136 ENDOCRINE
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-746-6220
Provider Business Practice Location Address Fax Number:
212-746-8527
Provider Enumeration Date:
03/27/2007

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: 163W00000X , with the licence number:  293887 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 363LG0600X , with the licence number: F340401 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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