Provider Demographics
NPI:1649389701
Name:GEREAU, SEZELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:SEZELLE
Middle Name:
Last Name:GEREAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SEZELLE
Other - Middle Name:
Other - Last Name:GEREAU-HADDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 DAFFODIL HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524
Mailing Address - Country:US
Mailing Address - Phone:347-680-7085
Mailing Address - Fax:646-935-2272
Practice Address - Street 1:SEZELLE GEREAU INC
Practice Address - Street 2:33 DAFFODIL HILL ROAD
Practice Address - City:GARRISON
Practice Address - State:NY
Practice Address - Zip Code:10524
Practice Address - Country:US
Practice Address - Phone:347-680-7085
Practice Address - Fax:646-935-2272
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153392207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology