Healthcare Provider Details

I. General information

NPI: 1972826485
Provider Name (Legal Business Name): GERALD FRANCIS SENESE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 03/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1806 PINE AVE
NIAGARA FALLS NY
14301-2234
US

IV. Provider business mailing address

1806 PINE AVE
NIAGARA FALLS NY
14301-2234
US

V. Phone/Fax

Practice location:
  • Phone: 716-282-1112
  • Fax: 716-282-0654
Mailing address:
  • Phone: 716-282-1112
  • Fax: 716-282-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number028789-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: