Provider Demographics
NPI:1992784797
Name:SECO PHYSICAL & OCCUPATIONAL THERAPY PLLC
Entity type:Organization
Organization Name:SECO PHYSICAL & OCCUPATIONAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SEAGER
Authorized Official - Suffix:I
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:607-334-5010
Mailing Address - Street 1:26 CONKEY AVE STE 136
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-1757
Mailing Address - Country:US
Mailing Address - Phone:607-334-5010
Mailing Address - Fax:607-336-7326
Practice Address - Street 1:4 CARTWRIGHT AVE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NY
Practice Address - Zip Code:13838-1206
Practice Address - Country:US
Practice Address - Phone:607-563-2929
Practice Address - Fax:607-563-2930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002359-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYR51513Medicare UPIN
NYCJ8998Medicare PIN
NYQAW831Medicare PIN
NYAA0380Medicare PIN