Healthcare Provider Details

I. General information

NPI: 1174503627
Provider Name (Legal Business Name): LINDA Q SESE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 05/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 8TH AVE
BROOKLYN NY
11217-3901
US

IV. Provider business mailing address

76 MARYLAND RD
PARAMUS NJ
07652-4008
US

V. Phone/Fax

Practice location:
  • Phone: 718-636-5900
  • Fax: 718-636-5902
Mailing address:
  • Phone: 201-967-0148
  • Fax: 201-967-0148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number112251
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: