Otero, Sejal R
Otero, Sejal R is an individual health care provider with primary practice located at 3630 Hill Blvd Ste 402, Jefferson Valley NY 10535. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Otero, Sejal R can be contacted via phone (914) 245-5400.Contact Information
Primary practice address
3630 Hill Blvd Ste 402
Jefferson Valley NY 10535
Phone: (914) 245-5400
Fax: (845) 278-4579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 006617-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 006617 | New York |
Profile Details
| NPI number | 1215024898 |
|---|---|
| LBN Legal business name | Otero, Sejal R |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | May 15th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215024898 | NPPES |
| New York | Other | 970023444 | RR MC-PALMETTO GBA |
| New York | MEDICAID | 02366338 | RR MC-PALMETTO GBA |
| New York | Other | 970023444 | RR MC-PALMETTO GBA |
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