Provider Demographics
NPI:1982637781
Name:SENECA CAZENOVIA O S S
Entity Type:Organization
Organization Name:SENECA CAZENOVIA O S S
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O., PRESIDENT, MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-824-6298
Mailing Address - Street 1:2152 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14210-2445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2152 SENECA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14210-2445
Practice Address - Country:US
Practice Address - Phone:716-824-6298
Practice Address - Fax:716-824-6317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY040401000127OtherFIDELIS
NY00011191501OtherUNIVERA
NY000551025001OtherBLUE CROSS/BLUE SHIELD
NY00669407Medicaid
NY8251529OtherINDEPENTENT HEALTH
NY040401000127OtherFIDELIS