Provider Demographics
NPI:1023983616
Name:SEZANAYEV, ARIELE
Entity type:Individual
Prefix:
First Name:ARIELE
Middle Name:
Last Name:SEZANAYEV
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 98TH ST APT 9C
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1423
Mailing Address - Country:US
Mailing Address - Phone:917-376-4641
Mailing Address - Fax:
Practice Address - Street 1:26 GRASSLANDS CIR
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-1857
Practice Address - Country:US
Practice Address - Phone:631-767-1093
Practice Address - Fax:631-687-6433
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY637897773225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty