MEDICARE: DR. EDWARD S ESSES M.D.

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	2085R0202X	Diagnostic Radiology Physician	ME145454	FL
2	2085R0202X	Diagnostic Radiology Physician	302514	NY
3	2085R0204X	Vascular & Interventional Radiology Physician	25MA11637100	NJ
4	2085R0204X	Vascular & Interventional Radiology Physician	ME145454	FL
5	2085R0204X	Vascular & Interventional Radiology Physician	302514	NY

General Provider Information

NPI Number	:	1205213071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD S ESSES M.D.

Provider Business Mailing Address
First Line	:	1953 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3056
Country	:	US
Telephone Number	:	347-446-8916
Fax Number	:

Provider Business Practice Location Address
First Line	:	2174 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4326
Country	:	US
Telephone Number	:	646-951-5217
Fax Number	:

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

Provider Enumeration Date	:	04/30/2015
Last Update Date	:	12/12/2024

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