Provider Demographics
NPI:1467445098
Name:SENIOR OPTIONS SYSTEMS LLP
Entity Type:Organization
Organization Name:SENIOR OPTIONS SYSTEMS LLP
Other - Org Name:SENIOR OPTIONS SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LCSWR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LAURA
Authorized Official - Last Name:ROGAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:516-313-5556
Mailing Address - Street 1:29 HOPEWELL DR
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-2323
Mailing Address - Country:US
Mailing Address - Phone:516-313-5556
Mailing Address - Fax:631-751-5762
Practice Address - Street 1:29 HOPEWELL DR
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2323
Practice Address - Country:US
Practice Address - Phone:516-313-5556
Practice Address - Fax:631-751-5762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0525611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
N3W211Medicare ID - Type Unspecified