Provider Demographics
NPI:1619266400
Name:SEAGER, DAWN MARIE (LPN, HCSS)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:SEAGER
Suffix:
Gender:F
Credentials:LPN, HCSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4465 STATE ROUTE 41
Mailing Address - Street 2:
Mailing Address - City:MC GRAW
Mailing Address - State:NY
Mailing Address - Zip Code:13101-9556
Mailing Address - Country:US
Mailing Address - Phone:607-591-9893
Mailing Address - Fax:
Practice Address - Street 1:4465 STATE ROUTE 41
Practice Address - Street 2:
Practice Address - City:MC GRAW
Practice Address - State:NY
Practice Address - Zip Code:13101-9556
Practice Address - Country:US
Practice Address - Phone:607-591-9893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299719-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse