Sezelle Gereau, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

153392 Issued in NY

Practice address

Sezelle Gereau Inc
33 Daffodil Hill Road
Garrison, NY 10524

Phone

(347) 680-7085

Fax

(646) 935-2272

NPI assigned

Aug 30, 2006

Last updated

Oct 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sezelle Gereau-Haddon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1649389701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DAFFODIL HILL ROAD",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "10524",
            "telephone_number": "347-680-7085",
            "fax_number": "646-935-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEZELLE GEREAU INC",
            "address_2": "33 DAFFODIL HILL ROAD",
            "city": "GARRISON",
            "state": "NY",
            "postal_code": "10524",
            "telephone_number": "347-680-7085",
            "fax_number": "646-935-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEREAU",
        "first_name": "SEZELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "153392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEZELLE",
            "last_name": "GEREAU-HADDON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie M Furst
• Alane Gahagan, LCSW
• Garrison Union Free School District
• Garrison Volunteer Ambulance Corp
• David P Gerber
• Gergely Pediatrics PC
• Peter E Gergely, MD
• Jessica Golde, OTR/L
• Sofia Granieri
• Brian Hakoun, LPN

• Otolaryngology Physician in Garrison, NY
• Providers in Garrison, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.