Provider Demographics
NPI:1033762489
Name:CEESAY, LAMIN S (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:LAMIN
Middle Name:S
Last Name:CEESAY
Suffix:
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1451 LELAND AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-3907
Mailing Address - Country:US
Mailing Address - Phone:917-326-1128
Mailing Address - Fax:
Practice Address - Street 1:1451 LELAND AVE APT 1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-3907
Practice Address - Country:US
Practice Address - Phone:917-326-1128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY739918163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse