MR. STEPHEN SENENKO


Address: 739 Irving Ave Ste 200, Syracuse, NY 13210
Phone: 3154795070

MR. STEPHEN SENENKO (NPI# 1164784542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164784542
Entity Type Individual
Full Name MR. STEPHEN SENENKO
Credential PA-C
Practice Address 739 Irving Ave Ste 200
Syracuse
NY 13210
Mailing Address 739 Irving Ave Ste 200
Syracuse
NY 13210-1668
Practice Telephone 3154795070
Practice Fax Number 3157012525
Mailing Telephone 3154795070
Mailing Fax Number 3157012525
Enumeration Date 2012-06-12
Last Update Date 2019-06-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 133V00000X Dietitian, Registered 007505-1 NY Dietary & Nutritional Service Providers
N 363A00000X Physician Assistant 020247 Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
020247 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS 020247 01
NY UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE 007505-1 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
921 State St, Ogdensburg, NY 13669 3153939268

Office Location

Street Address 739 IRVING AVE STE 200
City SYRACUSE
State NY
Zip Code 13210

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356407993 Internist Associates of Central New York PC Durable Medical Equipment & Medical Supplies 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2006-12-28
1467070490 Danielle L Ryan Nurse Practitioner 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2020-07-07
1720642184 Erika Johnson Physician Assistant 739 Irving Ave Ste 200, Syracuse, NY 13210 2019-04-30
1801382338 Emily Anne Weston Nurse Practitioner 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2018-07-09
1629526033 Dipendra P Sah Physician Assistant 739 Irving Ave Ste 200, Syracuse, NY 13210 2016-09-14
1558721373 Amira Goldberg Nurse Practitioner 739 Irving Ave Ste 200, Syracuse, NY 13210 2016-03-07
1205275732 Parifar Rostami Internal Medicine 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2013-06-18
1801149737 Brittney Beverly Pfohl Nurse Practitioner 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2012-10-16
1952629487 Michele Alphonse Internal Medicine 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2010-05-07
1689837734 David Jonathan Di Cesar Internal Medicine 739 Irving Ave Ste 200, Syracuse, NY 13210-1668 2008-07-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558973586 Maizie Marie Shaw Social Worker 660 Madison Street, Syracuse, NY 13210 2020-08-20
1427666916 Christine Marie Welker Registered Nurse 735 Irving Avenue, Syracuse, NY 13210 2020-07-21
1386263994 Ashwini Krishna Ashwath Student in an Organized Health Care Education/Training Program 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 2020-04-14
1073142329 Kamala Ojha Student in an Organized Health Care Education/Training Program 750-east Adam's Street, Syracuse, NY 13210 2020-04-07
1003442369 Brittany Nicole Lippert Counselor 615 Madison St, Syracuse, NY 13210 2020-03-19
1902430499 Dkt Physician Pllc Internal Medicine 475 Irving Ave, Suite 410, Syracuse, NY 13210 2020-02-24
1376194720 Sarah Van Eenenaam Physician Assistant Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 2019-09-26
1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
1639659428 Francesca Wanda Cotrupe Physical Medicine & Rehabilitation Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 2018-08-21
1700370327 Dallin Lindahl Physical Medicine & Rehabilitation 750 E Adams St # Jh308, Syracuse, NY 13210 2018-06-18
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487252581 North Shore Medical Group Pllc Physician Assistant 311 Skyview Ter, Syracuse, NY 13219-2835 2020-10-12
1760043574 Colin Michael King Physician Assistant 135 Somerset Rd, Syracuse, NY 13224-1961 2019-06-24
1346657251 Jessica Lynn Demauro Physician Assistant 111 Waverly Avenue, Syracuse, NY 13244 2014-07-14
1982664876 Vincent M. Gemelli Physician Assistant 1304 Buckley Road, Suite 302, Syracuse, NY 13212-4318 2006-03-24
1245210129 Benjamin I Connor Physician Assistant 2700 Court St, Syracuse, NY 13208-3295 2006-01-18
1326020033 Michelle Margaret Ederer Physician Assistant 3504 W Genesee St, Syracuse, NY 13219-2008 2005-11-17
1689672230 Robert D Kirk Physician Assistant 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 2005-07-08
1992702278 Michael P Sharak Physician Assistant 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 2005-07-01
1568022853 Chelsea Clareann Yager Physician Assistant 301 Prospect Ave, Syracuse, NY 13203-1807 2019-06-18
1104308253 Diana Maria Ramirez Physician Assistant 750 E Adams St, Syracuse, NY 13210-2306 2018-09-05
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Competitor

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City SYRACUSE
Zip Code 13210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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