Provider Demographics
NPI:1952699134
Name:SENIUK, YVETTE RENAE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:RENAE
Last Name:SENIUK
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:YVETTE
Other - Middle Name:RENAE
Other - Last Name:REID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:2504 SOUTH LYNDONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103-9656
Mailing Address - Country:US
Mailing Address - Phone:585-331-8802
Mailing Address - Fax:585-331-8802
Practice Address - Street 1:2504 SOUTH LYNDONVILLE RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:NY
Practice Address - Zip Code:14103-9656
Practice Address - Country:US
Practice Address - Phone:585-331-8802
Practice Address - Fax:585-331-8802
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY516165-1163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency