Individual
MR. STEPHEN SENENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
144 GENESEE ST STE 401, AUBURN, NY 13021-3511
(315) 253-8477
(315) 515-3191
Mailing address
144 GENESEE ST STE 401, AUBURN, NY 13021-3511
(315) 253-8477
(315) 515-3191
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
007505-1
NY
363A00000X
Physician Assistant
020247
—
363AM0700X
Medical Physician Assistant
Primary
020247
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007505-1
UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFESSIO
NY
01
—
020247
STATE OF NEW YORK EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS
NY
05
—
04605996
—
NY
Enumeration date
06/12/2012
Last updated
12/09/2025
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