National Provider Identifier

Selina Jean Lenetsky, NP

Selina Jean Lenetsky, NP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 252-3248.

NPI 1265130967Ithaca, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1265130967
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
February 21, 2023
Last Updated
October 06, 2023

Practice Location

  • 101 Harris B Dates Dr
  • Ithaca, NY 14850-1383

Phone: (607) 252-3248

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
  • Emergency Registered Nurse (163WE0003X)
Full Record
NPI
1265130967
Entity Type
Individual
Last Name
Lenetsky
First Name
Selina
Middle Name
Jean
Credential
NP
Provider Other Last Name
Markes
Provider Other First Name
Selina
Provider Other Middle Name
Jean
Provider Other Last Name Type Code
1
Mailing Street Address
101 Harris B Dates Dr
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1383
Mailing Country
US
Mailing Phone
(607) 252-3248
Mailing Fax
(607) 274-4130
Practice Street Address
101 Harris B Dates Dr
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1383
Practice Country
US
Practice Phone
(607) 252-3248
Practice Fax
(607) 274-4130
Enumeration Date
February 21, 2023
Last Updated
October 06, 2023
Sex
Female
Sole Proprietor
No
Certification Date
August 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Emergency Registered Nurse (163WE0003X)