Individual
ALICIA M SEWERYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2438 ELMWOOD AVE, KENMORE, NY 14217
(716) 873-9154
(716) 875-3796
Mailing address
2438 ELMWOOD AVE, KENMORE, NY 14217
(716) 873-9154
(716) 875-3796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0217341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000626951001
BLUE CROSS
—
01
—
825107
EMPIRE
—
01
—
9311626
INDEPENDENT HEALTH
—
Enumeration date
11/09/2006
Last updated
07/08/2007
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