Selke, Laura Serene

Selke, Laura Serene is an individual health care provider with primary practice located at 3399 Winton Rd S , Rochester NY 14623-3057. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Selke, Laura Serene can be contacted via phone (585) 334-6000.

Contact Information

Primary practice address
3399 Winton Rd S Rochester NY 14623-3057
Phone: (585) 334-6000
Fax: (585) 334-2858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 16242 New York

Profile Details

NPI number 1205803434
LBN Legal business name Selke, Laura Serene
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205803434 NPPES
New York MEDICAID 00355344

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