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NPI Code Detail

MEDICARE: JENNIFER R SEIB CASAC-T

MEDICARE: JENNIFER R SEIB CASAC-T
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor20067NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120067OTHERNYCASAC-T

General Provider Information

NPI Number : 1528131679
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER R SEIB CASAC-T
Provider Business Mailing Address
First Line : 6301 INDUCON DR E
Second Line :
City : SANBORN
State : NY
Zip : 14132-9014
Country : US
Telephone Number : 716-731-2030
Fax Number : 716-731-3010
Provider Business Practice Location Address
First Line : 6301 INDUCON DR E
Second Line :
City : SANBORN
State : NY
Zip : 14132-9014
Country : US
Telephone Number : 716-731-2030
Fax Number : 716-731-3010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 07/08/2007

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Directions to “ JENNIFER R SEIB CASAC-T” Practice Location

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