SENIOR NETWORK HEALTH LLC NPI 1619139219

NPI Information

  • NPI: 1619139219
  • Provider Name: SENIOR NETWORK HEALTH, LLC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 2521 SUNSET AVE
    UTICA, NY
    ZIP 13502
  • Phone: (315) 624-4565

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NPI Details

SENIOR NETWORK HEALTH, LLC is a preferred provider organization in Utica, NY. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. SENIOR NETWORK HEALTH, LLC NPI is 1619139219. The provider is registered as an organization entity type.

The provider's business location address is:

2521 SUNSET AVE
UTICA, NY
ZIP 13502-825
Phone: (315) 624-4565
Fax: (315) 624-4541

The provider's authorized official is Andrea Lazarek-laquay .
The authorized official title is Director/chief Operating Officer and has the following contact phone number (315) 624-4555.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization01778523NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101778523MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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