Provider Demographics
NPI:1407974413
Name:SELEY, JANE J (GNP CDE)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:J
Last Name:SELEY
Suffix:
Gender:F
Credentials:GNP CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 EAST 68 STREET
Mailing Address - Street 2:ROOM F2025, BOX 136 ENDOCRINE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-746-6220
Mailing Address - Fax:212-746-8527
Practice Address - Street 1:525 EAST 68 STREET NEWYORK PRESBYTERIAN WC
Practice Address - Street 2:ROOM F2025, BOX 136 ENDOCRINE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-6220
Practice Address - Fax:212-746-8527
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY293887163W00000X
NYF340401363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY90N741Medicare UPIN