MEDICARE: MR. JONATHAN EMANUEL SESMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	105905	NY

General Provider Information

NPI Number	:	1154798643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN EMANUEL SESMAN

Provider Business Mailing Address
First Line	:	2361 31ST ST
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11105-2809
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	189 S 2ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-4305
Country	:	US
Telephone Number	:	718-384-6400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	04/20/2026

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