Provider Demographics
NPI:1326085788
Name:SESNY, MARIE (RD)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:SESNY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:E
Other - Last Name:ROLLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:118 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1677
Mailing Address - Country:US
Mailing Address - Phone:717-231-8539
Mailing Address - Fax:717-231-8588
Practice Address - Street 1:101 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-1675
Practice Address - Country:US
Practice Address - Phone:717-221-6258
Practice Address - Fax:717-221-6266
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA381385133V00000X
PADN002176133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1021061000001Medicaid
PADN002176OtherLICENSE
PA7649699OtherAETNA TRADITIONAL
PASE1816680OtherHIGHMARK BLUE SHIELD
PA1021061000001Medicaid