Provider Demographics
NPI:1093039216
Name:JUANA MARTE-SENA
Entity Type:Organization
Organization Name:JUANA MARTE-SENA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANA
Authorized Official - Middle Name:FRANCISCA
Authorized Official - Last Name:MARTE-SENA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-743-1613
Mailing Address - Street 1:851 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3427
Mailing Address - Country:US
Mailing Address - Phone:917-743-1613
Mailing Address - Fax:
Practice Address - Street 1:78 POST AVE
Practice Address - Street 2:1E
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10034
Practice Address - Country:US
Practice Address - Phone:917-743-1613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO55426-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRO55426-1OtherSOCIAL WORKER LICENSE NUMBER