Healthcare Provider Details

I. General information

NPI: 1699689588
Provider Name (Legal Business Name): BRANDON MICHAEL SENEY PARAMEDIC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 WOLF RD
LATHAM NY
12110-4802
US

IV. Provider business mailing address

8 CRAIG ST
WATERVLIET NY
12189-1815
US

V. Phone/Fax

Practice location:
  • Phone: 518-955-2145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number476869
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: