Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 112251 | NY |
NPI | 1174503627 |
---|---|
Provider Name | Dr. Linda Q Sese |
First Address | Paramus, NJ 07652-4008 |
Second Address | Brooklyn, NY 11217-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 29/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00203003 | (05) | NY |
E51742 | (02) |