Provider Demographics
NPI:1598815136
Name:SELLINGER, JAY
Entity Type:Individual
Prefix:MR
First Name:JAY
Middle Name:
Last Name:SELLINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MILTON RD
Mailing Address - Street 2:#E-32
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-3850
Mailing Address - Country:US
Mailing Address - Phone:914-946-6220
Mailing Address - Fax:914-946-3972
Practice Address - Street 1:901 N BROADWAY
Practice Address - Street 2:SUITE 14
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-2418
Practice Address - Country:US
Practice Address - Phone:914-949-6220
Practice Address - Fax:914-949-3972
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor