Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X3048 | NY |
NPI | 1376613349 |
---|---|
Provider Name | Dr. Paul Seniw |
First Address | Monticello, NY 12701 |
Second Address | Monticello, NY 12701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 20/10/2008 |