Provider Demographics
NPI:1205213071
Name:ESSES, EDWARD S (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:S
Last Name:ESSES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Suffix:
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Mailing Address - Street 1:1953 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3056
Mailing Address - Country:US
Mailing Address - Phone:347-446-8916
Mailing Address - Fax:
Practice Address - Street 1:2174 FLATBUSH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4326
Practice Address - Country:US
Practice Address - Phone:646-951-5217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1454542085R0202X, 2085R0204X
NY3025142085R0202X, 2085R0204X
NJ25MA116371002085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology