Provider Demographics
NPI:1194999110
Name:JAVIER SENOSIAIN MEDICAL PC
Entity type:Organization
Organization Name:JAVIER SENOSIAIN MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLLING CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-774-5354
Mailing Address - Street 1:7158 AUSTIN ST
Mailing Address - Street 2:208
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4732
Mailing Address - Country:US
Mailing Address - Phone:347-561-4104
Mailing Address - Fax:
Practice Address - Street 1:7158 AUSTIN ST
Practice Address - Street 2:208
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4732
Practice Address - Country:US
Practice Address - Phone:347-561-4104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty