Provider Demographics
NPI:1457097867
Name:SESE, GISELLE EVE (FNP)
Entity Type:Individual
Prefix:
First Name:GISELLE
Middle Name:EVE
Last Name:SESE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 MACDOUGAL ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11233-2706
Mailing Address - Country:US
Mailing Address - Phone:917-681-2765
Mailing Address - Fax:
Practice Address - Street 1:205 MACDOUGAL ST APT 1B
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-2706
Practice Address - Country:US
Practice Address - Phone:917-681-2765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY349565363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily