Healthcare Provider Details

I. General information

NPI: 1871384800
Provider Name (Legal Business Name): SENESSA HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2025
Last Update Date: 05/17/2025
Certification Date: 05/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4147 WILDER AVE
BRONX NY
10466-2131
US

IV. Provider business mailing address

4147 WILDER AVE
BRONX NY
10466-2131
US

V. Phone/Fax

Practice location:
  • Phone: 212-203-6994
  • Fax: 212-203-6994
Mailing address:
  • Phone: 212-203-6994
  • Fax: 212-203-6994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number
License Number State

VIII. Authorized Official

Name: ALFRED ATSUNYO
Title or Position: MANAGER
Credential:
Phone: 212-203-6994