Provider Demographics
NPI:1770915274
Name:PRIVATE MATERIALS BY SESSIONS
Entity type:Organization
Organization Name:PRIVATE MATERIALS BY SESSIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERRYANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GUYAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-606-2298
Mailing Address - Street 1:244 5TH AVE STE K236
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7604
Mailing Address - Country:US
Mailing Address - Phone:518-606-2298
Mailing Address - Fax:
Practice Address - Street 1:244 5TH AVE STE K236
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7604
Practice Address - Country:US
Practice Address - Phone:518-606-2298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-07
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1306659784OtherNATIONAL