Healthcare Provider Details

I. General information

NPI: 1770915274
Provider Name (Legal Business Name): PRIVATE MATERIALS BY SESSIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2013
Last Update Date: 02/01/2025
Certification Date: 02/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

244 5TH AVE STE K236
NEW YORK NY
10001-7604
US

IV. Provider business mailing address

244 5TH AVE STE K236
NEW YORK NY
10001-7604
US

V. Phone/Fax

Practice location:
  • Phone: 518-606-2298
  • Fax:
Mailing address:
  • Phone: 518-606-2298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KERRYANN GUYAH
Title or Position: OWNER
Credential:
Phone: 518-606-2298