MEDICARE: SES OPERATING CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM2800X	Methadone Clinic
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	067AN1	OTHER	NY	EMPIRE BLUE CROSS BLUE SH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	237162	OTHER	NY	HEALTHFIRST

General Provider Information

NPI Number	:	1427125632
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SES OPERATING CORP

Provider Business Mailing Address
First Line	:	2367 -69 SECOND AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-3108
Country	:	US
Telephone Number	:	212-876-2300
Fax Number	:	917-492-9202

Provider Business Practice Location Address
First Line	:	2367 -69 SECOND AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10035-3108
Country	:	US
Telephone Number	:	212-876-2300
Fax Number	:	917-492-9202

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. STUART ROBERT STEINER
Credential	:	MBA
Telephone Number	:	212-876-2300

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	06/23/2010

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Directions to “SES OPERATING CORP ” Practice Location

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