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Individual

DAVID SENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
230 N GENESEE ST, UTICA, NY 13502-2529
(315) 275-3214
Mailing address
PO BOX 500, ELLICOTTVILLE, NY 14731-0500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006164
NY
363A00000X
Physician Assistant
52582
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02287089
NY
Enumeration date
06/01/2006
Last updated
01/04/2023
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