Provider Demographics
NPI:1811294465
Name:WILLIAM J. SENISI, M.D. P.C.
Entity type:Organization
Organization Name:WILLIAM J. SENISI, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SENISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-483-5813
Mailing Address - Street 1:1 WEBSTER AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1361
Mailing Address - Country:US
Mailing Address - Phone:845-483-5813
Mailing Address - Fax:845-483-5411
Practice Address - Street 1:1 WEBSTER AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1361
Practice Address - Country:US
Practice Address - Phone:845-483-5813
Practice Address - Fax:845-483-5411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148468207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01305242Medicaid
NY01305242Medicaid
NY42Z111Medicare PIN