MEDICARE: ERIC SENAT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	173063	NY

General Provider Information

NPI Number	:	1316151525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC SENAT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 340262
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-0262
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3156 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2616
Country	:	US
Telephone Number	:	718-252-7324
Fax Number	:	718-951-7371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

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