Healthcare Provider Details

I. General information

NPI: 1043423387
Provider Name (Legal Business Name): DHAY SESE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 03/04/2020
Certification Date: 03/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 MADISON AVENUE 4TH FLOOR
NEW YORK NY
10016
US

IV. Provider business mailing address

99 MADISON AVENUE 4TH FLOOR
NEW YORK NY
10016
US

V. Phone/Fax

Practice location:
  • Phone: 212-802-1448
  • Fax: 646-430-5631
Mailing address:
  • Phone: 212-802-1448
  • Fax: 646-430-5631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number022478
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number022478-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: