Provider Demographics
NPI:1558643114
Name:SENIOR NETWORK OPTIONS INC
Entity Type:Organization
Organization Name:SENIOR NETWORK OPTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DURKIN
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE,BSN
Authorized Official - Phone:631-885-5464
Mailing Address - Street 1:862 WEST BAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NEW YORK
Mailing Address - Zip Code:11795
Mailing Address - Country:UM
Mailing Address - Phone:631-885-5464
Mailing Address - Fax:
Practice Address - Street 1:862 W BAY DR
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4708
Practice Address - Country:US
Practice Address - Phone:631-885-5464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY369068251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare