MR. KENNETH R. SELIG (NPI# 1174701007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174701007 |
| Entity Type | Individual |
| Full Name | MR. KENNETH R. SELIG |
| Credential | P.A. |
| Practice Address |
462 1st Ave New York NY 10016-9196 |
| Practice Telephone | 2125626365 |
| Mailing Telephone | 2125626365 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | 320446 | NY | Emergency Medical Service Providers |
| N | 363A00000X | Physician Assistant | 002803 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 011748 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 63 Dale Ave, #b3, Ossining, NY 105623559 | 6462414497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598091670 | Kenneth M. Selig | Psychiatry & Neurology | 257 New London Tpke, Glastonbury, CT 06033-4550 | 2009-10-26 |
| Street Address |
462 1ST AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10016-9196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659365880 | Kenneth Berger | Internal Medicine | 462 1st Ave, Nb7n2, New York, NY 10016-9196 | 2005-09-02 |
| 1548860828 | Sarah Louise Mann | Psychologist | 462 1st Ave, New York, NY 10016-9196 | 2020-10-27 |
| 1376141135 | Rita Carina Mennuti | Nurse Practitioner | 462 1st Ave, New York, NY 10016-9196 | 2020-10-14 |
| 1255947842 | Elena Volny | Social Worker | 462 1st Ave, New York, NY 10016-9196 | 2020-09-18 |
| 1033723390 | Caroline Lee Brachfeld | Psychologist | 462 1st Ave, New York, NY 10016-9196 | 2020-09-03 |
| 1053925222 | Hannah Esan | Psychologist | 462 1st Ave, New York, NY 10016-9196 | 2020-09-03 |
| 1417569252 | Jessica Lauren Tannenbaum | Social Worker | 462 1st Ave, New York, NY 10016-9196 | 2020-08-22 |
| 1841809647 | Komal Vadodaria | Physician Assistant | 462 1st Ave, New York, NY 10016-9196 | 2020-07-28 |
| 1972121325 | Kathryn Deangelis | Physician Assistant | 462 1st Ave, New York, NY 10016-9196 | 2020-07-13 |
| 1033737291 | Kristian Liam Olivieri | Physician Assistant | 462 1st Ave, New York, NY 10016-9196 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
| 1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
| 1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
| 1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
| 1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
| 1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
| 1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
| 1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
| 1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
| Find all providers in zip 10016 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.