Senior Network Health, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

01778523 Issued in NY

Legal business name

SENIOR NETWORK HEALTH, LLC

Practice address

2521 Sunset Ave
Utica, NY 13502-5825

Phone

(315) 624-4565

Fax

(315) 624-4541

NPI assigned

Jun 26, 2008

Organization subpart

Yes

Parent organization

MOHAWK VALLEY NETWORKAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Andrea Lazarek-Laquay

Title

Director/Chief Operating Officer

Phone

(315) 624-4555

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1619139219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025825",
            "telephone_number": "315-624-4565",
            "fax_number": "315-624-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 SUNSET AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025825",
            "telephone_number": "315-624-4565",
            "fax_number": "315-624-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR NETWORK HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOHAWK VALLEY NETWORK",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "LAZAREK-LAQUAY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR/CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "315-624-4555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "01778523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01778523",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Esmeldy Segura
• Nedzada Seho, PHYSICIAN ASSISTANT
• Steven Gary Seif, DDS
• Prrasonna Selvarajah, MD
• Puja Sengupta, MD
• David Senn, PA-C
• Stephanie Marie Sents, PT
• Donna B Sergio
• Rachel Sergott
• Megan Serley

• Preferred Provider Organization in Utica, NY
• Providers in Utica, NY by specialty
• Preferred Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.