Provider Demographics
NPI:1689012981
Name:SELIG, JENNETTE E
Entity Type:Individual
Prefix:MS
First Name:JENNETTE
Middle Name:E
Last Name:SELIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 POWERS ST
Mailing Address - Street 2:#3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-4921
Mailing Address - Country:US
Mailing Address - Phone:347-683-4239
Mailing Address - Fax:
Practice Address - Street 1:185 POWERS ST
Practice Address - Street 2:#3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4921
Practice Address - Country:US
Practice Address - Phone:347-683-4239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-08
Last Update Date:2013-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula